Tyiana Renee Dickerson
Tyiana Renee Dickerson is a Community/Behavioral Health Agency in Bossier City, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
3018 Old Minden Rd Ste 1117Bossier City, LA 71112-2497
Phone: (318) 746-1935
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1295182194 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 20, 2016 |
| Last updated in NPPES | May 9, 2019 |
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