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DERRICK LAMAR ADDISON SR.
NPI 1093239352
Counselor - Mental Health in Shreveport, LA

Active since July 28, 2017
9467 MILBANK DR, SHREVEPORT, LA 71115(318) 655-6318 Get Directions Write a Review

NPPES record last updated: July 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrick Lamar Addison Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK LAMAR ADDISON SR. (NPI 1093239352) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1093239352
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICK LAMAR ADDISON SR.
Location Address9467 MILBANK DRShreveport, LA 71115-3868
Mailing Address1717 Marshall StShreveport, LA 71101-4139
Phone(318) 655-6318
Sole ProprietorNo
Enumeration DateJuly 28, 2017
✔ NPI 1093239352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9467 MILBANK DR, Shreveport, LA 71115
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Addison's NPI number?

The NPI number for Derrick Addison is 1093239352. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Where is Derrick Addison located?

Derrick Addison practices at 9467 Milbank Dr, Shreveport, LA 71115. The listed phone number is (318) 655-6318.

What is Derrick Addison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Derrick Addison was last updated on July 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.