Healthcare Provider Details

I. General information

NPI: 1568371458
Provider Name (Legal Business Name): TYRONE D REED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 BIENVILLE ST STE 4
NEW ORLEANS LA
70112-3183
US

IV. Provider business mailing address

7551 PARRY ST
NEW ORLEANS LA
70128-1266
US

V. Phone/Fax

Practice location:
  • Phone: 504-332-8962
  • Fax:
Mailing address:
  • Phone: 504-473-7984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberOBHPSS12599
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: