IndividualActive
Austin Theriot, RPSS
NPI 1265261069 · Peer Specialist · Shreveport, LA
Provider details
- NPI number
- 1265261069
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- RPSS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
527 Crockett St
Shreveport, LA 71101-3601
Phone: (318) 222-8511
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Fairfield Ave
Shreveport, LA 71104-2002
Registry dates
- Enumerated
- 2024-07-30
- Last updated
- 2024-09-09
- Certified
- 2024-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.