MS. NICOLE LISELLE THOMAS
NPI 1265984595
Counselor - Mental Health in Shreveport, LA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since November 03, 2016

351 W 79TH ST, SHREVEPORT, LA 71106(318) 688-8190 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Nicole Liselle Thomas NPPES

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

MS. NICOLE LISELLE THOMAS (NPI 1265984595) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1265984595

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. NICOLE LISELLE THOMAS

Location Address351 W 79TH STShreveport, LA 71106-4819

Mailing Address351 W 79th StShreveport, LA 71106-4819 · (318) 688-8190

Phone(318) 688-8190

Sole ProprietorYes

Enumeration DateNovember 3, 2016

✔ NPI 1265984595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

351 W 79TH ST, Shreveport, LA 71106

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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.

POSITIVE CHANGE

Community/Behavioral Health