Individual provider · Type 1 NPI

Earnest Jerome Wyatt Sr., LPC-S

Professional Counselor · Shreveport, LA

NPI number 1689044588 Active

Practice location

510 E Stoner Ave
Shreveport, LA 71101-4243

Call (318) 221-8411 Map

Mailing address

238 Stubbs Vinson Rd
Monroe, LA 71203-7384

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5202 (LA)

Professional Counselor: Definition to come...

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About NPI 1689044588

Earnest Jerome Wyatt Sr., LPC-S's National Provider Identifier is 1689044588, issued on Oct 5, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Sep 16, 2026.