CAMRYN DENHAM-FAIRLEY
NPI 1750892006
Counselor - Professional in Shreveport, LA
Active since October 13, 2017
About Camryn Denham-fairley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMRYN DENHAM-FAIRLEY (NPI 1750892006) is an individual professional provider in Shreveport, Louisiana, licensed in Louisiana (7072) and active in the NPI registry since October 2017.
NPPES Registry Identity
NPI1750892006
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCAMRYN DENHAM-FAIRLEY
Location Address8501 MILLICENT WAY APT 1088Shreveport, LA 71115-2231
Mailing Address8501 Millicent Way Apt 1088Shreveport, LA 71115-2231
Phone(225) 223-2620
Sole ProprietorYes
Enumeration DateOctober 13, 2017
Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1750892006 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 7072
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
8501 MILLICENT WAY APT 1088, Shreveport, LA 71115
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750892006, enumerated as an "individual" on October 13, 2017.
The provider is located at 8501 MILLICENT WAY APT 1088 SHREVEPORT, LA 71115 and the phone number is (225) 223-2620.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
