Most Relevant Information
Provider Data
| NPI Number: | 1003380213 |
| Provider Name: | EIYANA MIDDLETON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 7910 |
Most Important Dates
| Enumeration Date: | 01/22/2019 |
| Last Updated: | 04/03/2023 |
Provider Practice Location
400 TEXAS ST STE 550A
SHREVEPORT
LA
711013546
Practice Location Phone/Fax
| Phone: | 3188893201 |
| Fax: |
Provider Mailing Location
400 TEXAS ST STE 550A
SHREVEPORT
LA
711013546
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |