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

Samaria Randle Tisby

Individual provider Mental Health Counselor · NPI 1932616661

Samaria Randle Tisby is a Mental Health Counselor in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1632 Shepherd Dr
Shreveport, LA 71107-4955
Phone: (318) 415-8414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1932616661
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2018
Last updated in NPPESJanuary 3, 2018

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