Provider Demographics
NPI:1982039335
Name:EARNEST, DENISE CAREY (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:CAREY
Last Name:EARNEST
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9809 TOURITE CIR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71118-4427
Mailing Address - Country:US
Mailing Address - Phone:318-687-0216
Mailing Address - Fax:
Practice Address - Street 1:9809 TOURITE CIR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71118-4427
Practice Address - Country:US
Practice Address - Phone:318-687-0216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional