MR. KENNETH ELGIN BEATTY NPI 1902179336

NPI Information

  • NPI: 1902179336
  • Provider Name: MR. KENNETH ELGIN BEATTY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 864 OLIVE ST
    SHREVEPORT, LA
    ZIP 71104
  • Phone: (318) 222-0759

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NPI Details

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 License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessionalNo
3101YM0800XCounselorMental 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: 3/30/2025

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