Individual provider · Type 1 NPI
Larry Lee Smith Jr., M.S
Mental Health Counselor · Shreveport, LA
NPI number
1174995138
Active
Practice location
6015 Hearne Avenue
Shreveport, LA 71108
Mailing address
4827 Rice Rd
Shreveport, LA 71119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Professional Counselor | 101YP2500X | 9611 (LA) |
| Mental Health Counselor Primary | 101YM0800X | 9611 (LA) |
Mental Health Counselor: Definition to come...
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About NPI 1174995138
Larry Lee Smith Jr., M.S's National Provider Identifier is 1174995138, issued on Oct 29, 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 Jun 11, 2026.