MR. KENNETH ELGIN BEATTY NPI 1902179336

NPI Information

NPI: 1902179336
Provider Name: MR. KENNETH ELGIN BEATTY
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
864 OLIVE ST
SHREVEPORT, LA
ZIP 71104
Phone: (318) 222-0759
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MR. Kenneth Elgin Beatty is a mental health counselor in Shreveport, LA. MR. Kenneth Elgin Beatty NPI is 1902179336. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

864 OLIVE ST
SHREVEPORT, LA
ZIP 71104-159
Phone: (318) 222-0759
Fax: (318) 221-0216

The enumeration date for this NPI number is 2/15/2012 and was last updated on 2/15/2012.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YP2500X	Counselor	Professional	No
3	101YM0800X	Counselor	Mental Health	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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