Provider Demographics
NPI:1821673443
Name:MCGEISEY, ERICA N (MS)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:N
Last Name:MCGEISEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 RUE DE GABRIEL
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-8243
Mailing Address - Country:US
Mailing Address - Phone:318-214-4002
Mailing Address - Fax:
Practice Address - Street 1:425 RUE DE GABRIEL
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-8243
Practice Address - Country:US
Practice Address - Phone:318-214-4002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator