Search › Louisiana › 101YP2500X
Tarkisha Wallace, LPC-S, NCC
NPI 1407233505 · on the registry since 2015
Practice
- Address
- 1000 Chinaberry Dr Ste 902
Bossier City, LA 71111 - Phone
- (318) 742-3408
- Organisation at this address
- Premier Ent Llc
Premier Ent Llc
Kambri S Healthcare Llc
Kambri S Healthcare Llc
Providence Primary Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Additional practice sites
- 1443 Delplaza Dr Ste 14, Baton Rouge, LA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana