Miranda Henley Theodos, is a
Case Manager/care Coordinator based in Jonesboro, Louisiana. Miranda Henley Theodos is licensed to practice in * (Not Available) (license number ) and her current practice location is
525 Alexander St, Jonesboro, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 259-4676.
NPI number for Miranda Henley Theodos is 1326712449 and her current mailing address is 1408 Tech Farm Rd Apt D15, Ruston, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326712449.
Healthcare Provider's Profile
Full Name | Miranda Henley Theodos |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 525 Alexander St, Jonesboro, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326712449
- Provider Enumeration Date: 08/03/2021
- Last Update Date: 08/16/2021
Medical Identifiers
Medical identifiers for Miranda Henley Theodos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326712449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miranda Henley Theodos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miranda Henley Theodos, 1408 Tech Farm Rd Apt D15, Ruston, LA 71270-5484 Ph: () - | Miranda Henley Theodos, 525 Alexander St, Jonesboro, LA 71251-2001 Ph: (318) 259-4676 |
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