Matthew Joseph Tisby in Shreveport - Pastoral
Matthew Joseph Tisby - NPI 1548367014
Matthew Joseph Tisby is a Pastoral in Shreveport, Louisiana. Matthew Joseph Tisby practices all healthcare services and medical treatments related to Pastoral. The NPI Number for Matthew Joseph Tisby is 1548367014. The last update date is 2007-07-08.
Matthew Joseph Tisby's current location address is 2437 Roy Rd, Shreveport, Louisiana. You can contact this provider via phone number 3184249584 and fax number 3184246121. The mailing address for Matthew Joseph Tisby is 2437 Roy Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matthew Joseph Tisby |
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Address | 2437 Roy Rd, Shreveport, Louisiana |
Phone Number | 3184249584 |
Fax Number | 3184246121 |
Sole Proprietor | Y |
Credentials | M. DIV. |
NPI Number Detail
NPI Number | 1548367014 |
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Provider Enumeration Date | 2006-09-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2437 Roy Rd |
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City | Shreveport |
State | Louisiana (LA) |
Post Code | 71107 |
Phone Number | 3184249584 |
Fax Number | 3184246121 |
Provider's Primary Taxonomy Detail
Speciality | Pastoral |
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Taxonomy | 101Yp1600X |
Definition: A counselor who integrates spirituality and counseling to promote wellbeing. |
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What is the unique 10-digit identifier code assigned to Matthew Joseph Tisby by the Centers for Medicare & Medicaid Services?
The Matthew Joseph Tisby has been issued the NPI (National Provider Identifier) 1548367014 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Matthew Joseph Tisby's facilities are situated?
The facilities of Matthew Joseph Tisby are physically located at the following address: 2437 Roy Rd, Shreveport, LA, 71107.
What is the area of specialization for Matthew Joseph Tisby, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Matthew Joseph Tisby is Pastoral, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp1600X.
On what date did the Matthew Joseph Tisby receive the assignment of its 1548367014 from the Centers for Medicare & Medicaid Services?
The Matthew Joseph Tisby was issued its 1548367014 by the Centers for Medicare & Medicaid Services on 2006-09-19.
As of what date were the Matthew Joseph Tisby's details last updated?
The information pertaining to the Matthew Joseph Tisby, including its address, specialty, and other details, was most recently updated on 2007-07-08.