Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deeandriez Wallace

Individual provider Case Manager/Care Coordinator · NPI 1669113239

Deeandriez Wallace is a Case Manager/Care Coordinator in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3003 Knight St Ste 115
Shreveport, LA 71105-2561
Phone: (318) 614-7314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PLC9016 (LA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1669113239
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2022
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023

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