Provider Demographics
NPI:1447709605
Name:REED, TYESHA RANEE (MHS)
Entity type:Individual
Prefix:
First Name:TYESHA
Middle Name:RANEE
Last Name:REED
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3733 INWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-1908
Mailing Address - Country:US
Mailing Address - Phone:504-377-9969
Mailing Address - Fax:
Practice Address - Street 1:3733 INWOOD DR
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-1908
Practice Address - Country:US
Practice Address - Phone:504-377-9969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-29
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health