Basic Information
| Provider Information | |||||||||
| NPI: | 1598110272 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CUMMINGS-COMBS | ||||||||
| FirstName: | APRYL | ||||||||
| MiddleName: | DENIECE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | |||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | |||||||||
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| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | |||||||||
| Mailing Information | |||||||||
| Address1: | 2924 KNIGHT ST | ||||||||
| Address2: | SUITE 426 | ||||||||
| City: | SHREVEPORT | ||||||||
| State: | LA | ||||||||
| PostalCode: | 711052415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3187543560 | ||||||||
| FaxNumber: | 3187790439 | ||||||||
| Practice Location | |||||||||
| Address1: | 2924 KNIGHT ST | ||||||||
| Address2: | SUITE 426 | ||||||||
| City: | SHREVEPORT | ||||||||
| State: | LA | ||||||||
| PostalCode: | 711052415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3187543560 | ||||||||
| FaxNumber: | 3187790439 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2016 | ||||||||
| LastUpdateDate: | 03/01/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | Y | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171M00000X | LA | Y | Other Service Providers | Case Manager/Care Coordinator |
No ID Information.