Organization · Type 2 NPI
Mbrace Wellness, LLC
Mental Health Counselor · Shreveport, LA
NPI number
1124862693
Active
Practice location
2924 Knight Street, Suite 412
Shreveport, LA 71105-2413
Mailing address
5735 Dixie Shreveport Rd
Shreveport, LA 71107-8991
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1124862693
Mbrace Wellness, LLC's National Provider Identifier is 1124862693, issued on Jun 20, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jun 20, 2024.