Individual provider · Type 1 NPI
Shea Boothe
Counselor · Jena, LA
NPI number
1609663111
Active
Practice location
3683 S First St
Jena, LA 71342-6409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | PLC10529 (LA) |
| Mental Health Counselor | 101YM0800X | PLC10528 (LA) |
| Case Manager/Care Coordinator | 171M00000X | PLC10528 (LA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1609663111
Shea Boothe's National Provider Identifier is 1609663111, issued on Apr 21, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jena, LA. The record was last updated on Jan 27, 2026.