MR. GREGORY H GENTRY LAC
NPI 1174047856
Counselor - Addiction (Substance Use Disorder) in Shreveport, LA

Active since August 03, 2017
2000 FAIRFILED AVENUE, SHREVEPORT, LA 71104(318) 222-8511 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2023, Jul 21, 2022, Aug 3, 2017 (3 updates tracked since 2017).

About Mr. Gregory H Gentry Lac NPPES

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

MR. GREGORY H GENTRY LAC (NPI 1174047856) is an individual addiction (substance use disorder) provider in Shreveport, Louisiana, licensed in Louisiana (116) and active in the NPI registry since August 2017. He maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1174047856
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. GREGORY H GENTRYCredential: LAC
Location Address2000 FAIRFILED AVENUEShreveport, LA 71104-2002
Mailing Address363 Sandefur DrShreveport, LA 71105-3245 · (318) 752-4454
Sole ProprietorYes
Enumeration DateAugust 3, 2017
Last NPPES UpdateJanuary 5, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
NPI 1174047856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in LA · 116
2000 FAIRFILED AVENUE, Shreveport, LA 71104

Secondary Practice Location 1

Location 1363 Sandefur DrShreveport, LA 71105-3245 · Phone (318) 752-4454

Other Identifiers 1

Other116LA · Addictive Disorder Regulatory Authority

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 Gregory Gentry's NPI number?

The NPI number for Gregory Gentry is 1174047856. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Gregory Gentry located?

Gregory Gentry practices at 2000 Fairfiled Avenue, Shreveport, LA 71104. The listed phone number is (318) 222-8511.

What is Gregory Gentry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gregory Gentry was last updated on January 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.