Search › Louisiana › 101YM0800X
Beverly Wilson
NPI 1811449895 · on the registry since 2016 · sole proprietor
Practice
- Address
- 9403 Mansfield Rd
Shreveport, LA 71118 - Phone
- (903) 701-0425
- Organisation at this address
- Pelican Bayou Counseling Agency Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 326
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2016-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana