Provider Demographics
NPI:1346777471
Name:REDFIELD, GLENDA MOORE (MENTAL HEALTH PROFES)
Entity Type:Individual
Prefix:MS
First Name:GLENDA
Middle Name:MOORE
Last Name:REDFIELD
Suffix:
Gender:F
Credentials:MENTAL HEALTH PROFES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 EAST ST
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586
Mailing Address - Country:US
Mailing Address - Phone:337-884-1482
Mailing Address - Fax:
Practice Address - Street 1:346 EAST ST
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586
Practice Address - Country:US
Practice Address - Phone:337-884-1482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator