Search › Louisiana › 101YP2500X
Krystal Pea
NPI 1790158400 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2219 Claiborne Ave
Shreveport, LA 71103 - Phone
- (318) 779-0434
- Fax
- (318) 210-0000
- Organisation at this address
- Social Work Professional Services, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 26
Additional practice sites
- 4023 Esplanade Ave, Shreveport, LA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
171M00000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana