Cooper, Kanisha Michelle

Cooper, Kanisha Michelle is an sole proprietor health care provider with primary practice located at 1500 N Market St Ste C104 , Shreveport LA 71107-6545. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Cooper, Kanisha Michelle can be contacted via phone (318) 626-5597.

Contact Information

Primary practice address
1500 N Market St Ste C104 Shreveport LA 71107-6545
Phone: (318) 626-5597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1396273249
LBN Legal business name Cooper, Kanisha Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2017
Last updated Jun 15th, 2023 - about 2 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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