NPI 1992557375 · live from the CMS NPI Registry
Becerra Wellness LLC
Counselor, Mental Health in Shreveport, LA. National Provider Identifier 1992557375, active.
NPI record
| NPI | 1992557375 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 800 Spring St Ste 202, Shreveport, LA 71101 |
| Practice phone | 318-200-0573 |
| Mailing address | 1519 Audubon Pl, Shreveport, LA 71105 |
| Enumerated | April 1, 2024 |
| Last updated | April 1, 2024 |
| Authorized official | Michael Becerra, Owner, Director Of Counseling LPC-S |
| Other names | Becerra Wellness LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | — |
| Behavior Analyst | 103K00000X | — |
| Psychologist, Adult Development & Aging | 103TA0700X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Family | 103TF0000X | — |
| Health Educator | 174H00000X | — |
| Rehabilitation Counselor | 225C00000X | — |
| Rehabilitation Counselor, Assistive Technology Practitioner | 225CA2400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.