Doctor Name: | MRS. SHENITA MICHELL REDDING |
NPI Number: | 1326369448 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LMFT |
License Number: | 510 |
Business Practice Address: | 4300 Youree Dr Ste 320c Shreveport, LA - 711053349 |
Business Phone Number: | 3185735428 |
Business Fax Number: | 3182199514 |
Mailing Address: | 4300 Youree Dr Ste 320c, SHREVEPORT |
State: | LA |
Postal Code: | 711053349 |
Phone Number: | 3185735428 |
Fax Number: | 3182199514 |
NPI Enumeration Date: | 06/14/2010 |
NPI Last Update Date: | 06/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 510 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |