Provider Demographics
NPI:1528288651
Name:ANDERSON, TRUIESHIA RANEE (MS-PLPC)
Entity type:Individual
Prefix:MRS
First Name:TRUIESHIA
Middle Name:RANEE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MS-PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2439 MANHATTAN BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-5359
Mailing Address - Country:US
Mailing Address - Phone:504-264-7162
Mailing Address - Fax:504-264-7168
Practice Address - Street 1:2439 MANHATTAN BLVD STE 301
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-5359
Practice Address - Country:US
Practice Address - Phone:504-309-4628
Practice Address - Fax:504-309-4647
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8826101YM0800X, 101YP2500X, 101Y00000X, 101YP2500X
LA171M00000X
LARC 60503747P1801X
LAPCA 117703747P1801X
LASIL 69493747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3390159Medicaid
LA1709735Medicaid
LA1629383Medicaid
LA1723100Medicaid
LA5480279Medicaid
LA1725633Medicaid