Jerrie Miles Booker
Individual provider Active NPI Mental Health Counselor · Baker, LA
NPI 1407513567 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1407513567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1365 (LA)
- Practice address
- 13910 Alba Dr
Baker, LA 70714-4616 - Phone
- (225) 931-0630
- NPI assigned
- Nov 23, 2021
- 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 | 1365 | LA | Yes |
Addresses
Primary practice location
13910 Alba Dr
Baker, LA 70714-4616
Mailing address
9403 Mansfield Rd
Shreveport, LA 71118-3815
Phone (318) 861-8938
Other practice location 1
3084 Westfork Dr Ste C
Baton Rouge, LA 70816-2254
Phone (225) 296-6083
Other providers in Baker, LA
- Cicella Lorine Benton
- Ashley Michelle Biagas
- Kayla Holliday Bibbins
- Jarrett Resean Blackmore
- Gregory Bonvillian
- Andrea Monique Branch
- Breitling Investment Company LLC
- Bridging the Gap Counseling & Consulting, LLC
- Brighter Beginnings Mentorship Program
- Ronnetria Brown
All providers in Baker, 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 Nov 25, 2024. 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.