MBRACE WELLNESS LLC NPI 1124862693

NPI Information

  • NPI: 1124862693
  • Provider Name: MBRACE WELLNESS, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2924 KNIGHT STREET, SUITE 412
    SHREVEPORT, LA
    ZIP 71105
  • Phone: (318) 200-0713

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NPI Details

MBRACE WELLNESS, LLC is a mental health counselor in Shreveport, LA. MBRACE WELLNESS, LLC NPI is 1124862693. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2924 KNIGHT STREET, SUITE 412
SHREVEPORT, LA
ZIP 71105-413
Phone: (318) 200-0713

The provider's authorized official is Margaret Michelle Brace Mckellar .
The authorized official title is Owner and has the following contact phone number (318) 470-4315.

The enumeration date for this NPI number is 6/20/2024 and was last updated on 6/20/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthYes

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: 11/21/2025

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