AUSTIN MICHAEL THERIOT

SHREVEPORT, LA
NPI1265261069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-07-30
Last Update Date2024-09-09
Business Address
AUSTIN MICHAEL THERIOT RPSS
527 CROCKETT ST
SHREVEPORT, LA 71101-3601
Phone number: 318-222-8511
Mailing Address
AUSTIN MICHAEL THERIOT RPSS
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2002
Phone number: 318-222-8511