MR. SHAVEZ JAVON PINESTRAW LPC
NPI 1063123354
Counselor - Professional in Hammond, LA
Active since December 08, 2022
About Mr. Shavez Javon Pinestraw Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHAVEZ JAVON PINESTRAW LPC (NPI 1063123354) is an individual professional provider in Hammond, Louisiana, licensed in Louisiana (9950) and active in the NPI registry since December 2022. He maintains a secondary practice location in Shreveport.
NPPES Registry Identity
NPI1063123354
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. SHAVEZ JAVON PINESTRAWCredential: LPC
Location Address14234 LINDSAY DRHammond, LA 70403-7628
Mailing AddressPo Box 2762Hammond, LA 70404-2762 · (985) 974-4972 · Fax (985) 243-3388
Phone(985) 974-4972
Fax(985) 243-3388
Sole ProprietorYes
Enumeration DateDecember 8, 2022
Last NPPES UpdateMay 5, 20265 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1063123354 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 9950
14234 LINDSAY DR, Hammond, LA 70403
Secondary Practice Location 1
Location 1234 Mayo RdShreveport, LA 71106-7916 · Phone (504) 345-9154
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063123354, enumerated as an "individual" on December 08, 2022.
The provider is located at 14234 LINDSAY DR HAMMOND, LA 70403 and the phone number is (985) 974-4972.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
