Individual provider · Type 1 NPI

Charles Timothy Wilcox, L.P.C., LMFT

Marriage & Family Therapist · Shreveport, LA

NPI number 1699898874 Active

Practice location

2520 Line Ave
Shreveport, LA 71104-3022

Call (318) 221-9300 Map

Mailing address

PO Box 178
Elysian Fields, TX 75642-0178

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	1571 (LA)
Marriage & Family Therapist Primary	106H00000X	89 (LA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1699898874

Charles Timothy Wilcox, L.P.C., LMFT's National Provider Identifier is 1699898874, issued on Apr 10, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Shreveport, LA. The record was last updated on Sep 11, 2025.