Dickerson, Tyiana Renee

Dickerson, Tyiana Renee is an sole proprietor health care provider with primary practice located at 3018 Old Minden Rd Ste 1117 , Bossier City LA 71112-2497. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Dickerson, Tyiana Renee can be contacted via phone (318) 746-1935.

Contact Information

Primary practice address
3018 Old Minden Rd Ste 1117 Bossier City LA 71112-2497
Phone: (318) 746-1935
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1295182194
LBN Legal business name Dickerson, Tyiana Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2016
Last updated May 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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