Wanda Shoemaker
Individual provider Active NPI Mental Health Counselor · Lake Providence, LA
NPI 1003348681 · NPPES record last updated Apr 1, 2017
Key facts
- NPI
- 1003348681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 306 Star Arlington St
Lake Providence, LA 71254-2012 - Phone
- (318) 372-0016
- NPI assigned
- Apr 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LA | Yes |
Addresses
Primary practice location
306 Star Arlington St
Lake Providence, LA 71254-2012
Mailing address
306 Star Arlington St
Lake Providence, LA 71254-2012
Phone (318) 372-0016
Other providers in Lake Providence, LA
- Anne Marie Scott
- SCPG Louisiana LLC
- Sharon Murphy
- Antrameka W Shaw
- Brittany Nicole Shelton
- Llewellyn Simon
- Star Clipper Transfers LLC
- Bobbie Stephens
- Ronald C Stratton Jr.
- Allison C Tatum
All providers in Lake Providence, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.