Healthcare Provider Details

I. General information

NPI: 1336058908
Provider Name (Legal Business Name): REDRIVER ADVOCACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 VALLERY LN
PINEVILLE LA
71360-3558
US

IV. Provider business mailing address

1300 VALLERY LN
PINEVILLE LA
71360-3558
US

V. Phone/Fax

Practice location:
  • Phone: 318-955-3808
  • Fax:
Mailing address:
  • Phone: 318-955-3808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. HUNTER HART LAWRENCE
Title or Position: OWNER/FOUNDER
Credential:
Phone: 318-955-3808