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WAYNE DOMALAON
NPI 1275905325
Counselor - Mental Health in Shreveport, LA

Active since October 28, 2015
9000 W WILDERNESS WAY APT 32, SHREVEPORT, LA 71106(318) 675-9101 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wayne Domalaon NPPES

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

WAYNE DOMALAON (NPI 1275905325) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1275905325
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWAYNE DOMALAON
Location Address9000 W WILDERNESS WAY APT 32Shreveport, LA 71106-6832
Mailing Address9000 W Wilderness Way Apt 32Shreveport, LA 71106-6832 · (318) 675-9101
Phone(318) 675-9101
Sole ProprietorYes
Enumeration DateOctober 28, 2015
✔ NPI 1275905325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9000 W WILDERNESS WAY APT 32, Shreveport, LA 71106
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Other Providers at the Same Location NPPES

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

QUENTIN COLLINS
Case Manager/Care Coordinator
9000 W WILDERNESS WAY APT 32
SHREVEPORT, LA 71106
Caddo Parish (318) 675-9101

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 Wayne Domalaon's NPI number?

The NPI number for Wayne Domalaon is 1275905325. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Where is Wayne Domalaon located?

Wayne Domalaon practices at 9000 W Wilderness Way Apt 32, Shreveport, LA 71106. The listed phone number is (318) 675-9101.

What is Wayne Domalaon'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 Wayne Domalaon was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.