Provider Demographics
NPI:1871235515
Name:FREEMAN, ALLEGRA SHRELLE
Entity Type:Individual
Prefix:
First Name:ALLEGRA
Middle Name:SHRELLE
Last Name:FREEMAN
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 1:4125 SALEM DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-7544
Mailing Address - Country:US
Mailing Address - Phone:225-573-2824
Mailing Address - Fax:
Practice Address - Street 1:14635 S HARRELLS FERRY RD STE 3A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2960
Practice Address - Country:US
Practice Address - Phone:225-349-8984
Practice Address - Fax:844-269-9818
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator