Individual provider · Type 1 NPI

Eric Vinceson Clark Jr., MHS

Mental Health Counselor · Shreveport, LA

NPI number 1053786194 Active

Practice location

404 Hearne Ave
Shreveport, LA 71103

Fax (318) 675-0120

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X008573370 (LA)

Mental Health Counselor: Definition to come...

41 other providers at this address

Other mental health counselor providers in Shreveport

See all in Shreveport →

About NPI 1053786194

Eric Vinceson Clark Jr., MHS's National Provider Identifier is 1053786194, issued on Dec 1, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Sep 11, 2025.