Provider Demographics
NPI:1831613801
Name:HOARD, DESI D
Entity type:Individual
Prefix:MR
First Name:DESI
Middle Name:D
Last Name:HOARD
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:DESI
Other - Middle Name:D
Other - Last Name:HOARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2513 MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71295-3411
Mailing Address - Country:US
Mailing Address - Phone:318-801-3128
Mailing Address - Fax:
Practice Address - Street 1:2513 MARTIN DR.
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:LA
Practice Address - Zip Code:71295
Practice Address - Country:US
Practice Address - Phone:318-801-3128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health