Individual provider · Type 1 NPI

Thelma Shamel Beverly

Mental Health Counselor · Shreveport, LA

NPI number 1992221519 Active

Practice location

1513 Line Ave Ste 250
Shreveport, LA 71101-4621

Call (318) 670-8858 Map

Fax (318) 670-8947

Mailing address

4837 Putters Ln
Shreveport, LA 71107-3477

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1992221519

Thelma Shamel Beverly's National Provider Identifier is 1992221519, issued on Aug 15, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Aug 15, 2017.