Provider Demographics
NPI:1790262277
Name:MAYS, CHATERRICA
Entity Type:Individual
Prefix:
First Name:CHATERRICA
Middle Name:
Last Name:MAYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2715 MACKEY PL STE 119
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71118-2527
Mailing Address - Country:US
Mailing Address - Phone:318-771-7707
Mailing Address - Fax:318-383-6685
Practice Address - Street 1:7800 YOUREE DR APT 1415
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-5528
Practice Address - Country:US
Practice Address - Phone:318-771-7707
Practice Address - Fax:318-383-6685
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health