SearchLouisiana104100000X

Raven Rye

NPI 1710497805 · on the registry since 2017 · sole proprietor

Practice

Address
2924 Knight St
Shreveport, LA 71105
Phone
(318) 840-5260
Organisation at this address
Cao Care Inc
Inner Space Llc
Finding A Better Me
Mbrace Wellness, Llc
Ebenezer Supplies Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Additional practice sites

  • 2704 Shed Rd Apt 290n, Bossier City, LA
  • 4021 Greenwood Rd, Shreveport, LA

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-16

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