JEROME LAVETTE DARBY MSW
NPI 1336681071
Counselor - Mental Health in Shreveport, LA
Active since November 11, 2016
About Jerome Lavette Darby Msw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEROME LAVETTE DARBY MSW (NPI 1336681071) is an individual mental health provider in Shreveport, Louisiana, licensed in Louisiana (10850) and active in the NPI registry since November 2016.
NPPES Registry Identity
NPI1336681071
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEROME LAVETTE DARBYCredential: MSW
Location Address351 W 79TH STShreveport, LA 71106-4819
Mailing Address3324 Danbury CtBossier City, LA 71112-3100 · (318) 230-1369
Phone(318) 688-8190
Fax(318) 688-8193
Sole ProprietorYes
Enumeration DateNovember 11, 2016
✔ NPI 1336681071 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in LA · 10850
351 W 79TH ST, Shreveport, LA 71106
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336681071, enumerated as an "individual" on November 11, 2016.
The provider is located at 351 W 79TH ST SHREVEPORT, LA 71106 and the phone number is (318) 688-8190.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.