JENESIS RAQUEL GIBSON LPC NPI 1023527843

NPI Information

NPI: 1023527843
Provider Name: JENESIS RAQUEL GIBSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
856 TEXAS AVE
SHREVEPORT, LA
ZIP 71101
Phone: (318) 429-6938
Get Directions

Jenesis Raquel Gibson, LPC is a professional counselor in Shreveport, LA. Jenesis Raquel Gibson, LPC NPI is 1023527843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

856 TEXAS AVE
SHREVEPORT, LA
ZIP 71101-400
Phone: (318) 429-6938

The enumeration date for this NPI number is 9/25/2017 and was last updated on 9/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6454	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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