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MR. EDWIN D MIRADOR RAC
NPI 1225346836
Counselor - Addiction (Substance Use Disorder) in Shreveport, LA

Active since September 16, 2010
510 E STONER AVE, SHREVEPORT, LA 71101(318) 863-7441 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Edwin D Mirador Rac NPPES

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

MR. EDWIN D MIRADOR RAC (NPI 1225346836) is an individual addiction (substance use disorder) provider in Shreveport, Louisiana, licensed in Louisiana (1184) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1225346836
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. EDWIN D MIRADORCredential: RAC
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing Address510 E Stoner AveShreveport, LA 71101-4243 · (318) 863-7441
Phone(318) 863-7441
Sole ProprietorNo
Enumeration DateSeptember 16, 2010
✔ NPI 1225346836 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 · 1184
510 E STONER AVE, Shreveport, LA 71101
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IGNATIUS NNADIOTU
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. DARLENE ROQUE COOK
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 990-5228
NANCY DUGGAN RN
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MICHAEL SCHROEDER
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
KARL REICHTER LICSW
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (319) 990-4401
SANJAY JAIN
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. SRINIVAS POTTURI M.D.,
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MRS. KELLY ANN WALLS LPN
Licensed Practical Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411

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 Edwin Mirador's NPI number?

The NPI number for Edwin Mirador is 1225346836. It was assigned to this individual provider in the NPPES registry on September 16, 2010.

Where is Edwin Mirador located?

Edwin Mirador practices at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (318) 863-7441.

What is Edwin Mirador'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 Edwin Mirador was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.