MLCOLM DEMERY
NPI 1336681931
Counselor - Mental Health in Shreveport, LA
About Mlcolm Demery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MLCOLM DEMERY (NPI 1336681931) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since November 2016.
NPPES Registry Identity
Specialties & Licenses
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 Mlcolm Demery's NPI number?
The NPI number for Mlcolm Demery is 1336681931. It was assigned to this individual provider in the NPPES registry on November 14, 2016.
Where is Mlcolm Demery located?
Mlcolm Demery practices at 3010 Newport St, Shreveport, LA 71118. The listed phone number is (318) 572-3309.
What is Mlcolm Demery'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 Mlcolm Demery was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mlcolm Demery · NPI 1336681931
Mental Health provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since November 14, 2016.
## Identity
- **NPI:** 1336681931 (Entity type: Individual)
- **Enumerated:** November 14, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3010 NEWPORT ST, Shreveport, LA 71118-2015
- **Phone:** (318) 572-3309
## Record status
- **NPPES last updated:** November 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1336681931) · Data from the CMS NPPES public registry.