Individual provider · Type 1 NPI

Austin Michael Theriot, RPSS

Peer Specialist · Shreveport, LA

NPI number 1265261069 Active

Practice location

527 Crockett St
Shreveport, LA 71101-3601

Call (318) 222-8511 Map

Mailing address

2000 Fairfield Ave
Shreveport, LA 71104-2002

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1265261069

Austin Michael Theriot, RPSS's National Provider Identifier is 1265261069, issued on Jul 30, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Shreveport, LA. The record was last updated on Sep 9, 2024.