Mbrace Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MBRACE WELLNESS, LLC

Practice address

2924 Knight Street, Suite 412
Shreveport, LA 71105-2413

Phone

(318) 200-0713

NPI assigned

Jun 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Margaret Michelle Brace McKellar, LPC-S

Title

Owner

Phone

(318) 470-4315

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Michelle Brace McKellar, LPC

  • Professional Counselor
  • Shreveport, LA
  • NPI 1891249090
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1124862693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 DIXIE SHREVEPORT RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711078991",
            "telephone_number": "318-470-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT STREET, SUITE 412",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052413",
            "telephone_number": "318-200-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBRACE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MCKELLAR",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "MICHELLE BRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-470-4315",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valarie Michelle Maywether
• Nicole Mazur, MAC
• Gary Bernard Mazzanti, M.D.
• Ifeyinwa R Mbadugha
• Grace Mbenkum
• Mca Specialists Hospital, LLC
• Angelo McAllister
• Jeannie Shim McAllister, PA-C
• Leslie Michelle McAnn May, OT
• Robert Kaufman McAtee Jr., R.D., LDN

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.