MR. LARRY LEE SMITH JR. M.S
NPI 1174995138
Counselor - Mental Health in Shreveport, LA
Active since October 29, 2015
About Mr. Larry Lee Smith Jr. M.s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. LARRY LEE SMITH JR. M.S (NPI 1174995138) is an individual mental health provider in Shreveport, Louisiana, licensed in Louisiana (9611) and active in the NPI registry since October 2015.
NPPES Registry Identity
NPI1174995138
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. LARRY LEE SMITH JR.Credential: M.S
Location Address6015 HEARNE AVENUEShreveport, LA 71108
Mailing Address4827 Rice RdShreveport, LA 71119
Phone(318) 210-7307
Sole ProprietorNo
Enumeration DateOctober 29, 2015
Last NPPES UpdateJune 11, 20263 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1174995138 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in LA · 9611
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 9611 (LA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
6015 HEARNE AVENUE, Shreveport, LA 71108
Other Names 1
Professional Name (2)Mr. Larry Lee Smith M.s
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174995138, enumerated as an "individual" on October 29, 2015.
The provider is located at 6015 HEARNE AVENUE SHREVEPORT, LA 71108 and the phone number is (318) 210-7307.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
