Healthcare Provider Details

I. General information

NPI: 1538023262
Provider Name (Legal Business Name): TERI JOYCE HEMPHILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEADOWBROOK DR
MINDEN LA
71055-6090
US

IV. Provider business mailing address

100 MEADOWBROOK DR
MINDEN LA
71055-6090
US

V. Phone/Fax

Practice location:
  • Phone: 318-382-0203
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCIT6053
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: