SearchLouisiana171M00000X

Tenisha Shaw

NPI 1992254130 · on the registry since 2016 · sole proprietor

Practice

Address
9403 Mansfield Rd
Shreveport, LA 71118
Phone
(318) 861-8938
Fax
(318) 862-3554
Organisation at this address
Pelican Bayou Counseling Agency Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
326

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-30

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