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TEDIE NELSON
NPI 1386194165
Counselor - Mental Health in Shreveport, LA

Active since October 05, 2016
4609 N MARKET ST, STE. A, SHREVEPORT, LA 71107(318) 626-5462(318) 626-5562 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tedie Nelson NPPES

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

TEDIE NELSON (NPI 1386194165) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1386194165
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTEDIE NELSON
Location Address4609 N MARKET ST, STE. AShreveport, LA 71107-2900
Mailing Address4609 N Market St, Ste. AShreveport, LA 71107-2900 · (318) 626-5462 · Fax (318) 626-5562
Phone(318) 626-5462
Fax(318) 626-5562
Sole ProprietorYes
Enumeration DateOctober 5, 2016
✔ NPI 1386194165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4609 N MARKET ST, Shreveport, LA 71107
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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.

ROUSHANDA HALLMON
Case Manager/Care Coordinator
4609 N MARKET ST, STE. A
SHREVEPORT, LA 71107
Caddo Parish (318) 626-5462
JAYLON BERRY
Counselor (Mental Health)
4609 N MARKET ST, STE. A
SHREVEPORT, LA 71107
Caddo Parish (318) 626-5462
DEMETRIS HENDERSON
Counselor (Mental Health)
4609 N MARKET ST, STE. A
SHREVEPORT, LA 71107
Caddo Parish (318) 626-5462
TERRECA FORD
Counselor (Mental Health)
4609 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 626-5462
BRENDA PACK
Counselor (Mental Health)
4609 N MARKET ST, STE. A
SHREVEPORT, LA 71107
Caddo Parish (318) 626-5462
ANTORY COOPER
Counselor (Mental Health)
4609 N MARKET ST, STE. A
SHREVEPORT, LA 71107
Caddo Parish (318) 626-5462
DEMOND HOLMES
Counselor (Mental Health)
4609 N MARKET ST, STE. A
SHREVEPORT, LA 71107
Caddo Parish (318) 626-5462
MICHAEL GATSON
Counselor (Professional)
4609 N MARKET ST, STE. A
SHREVEPORT, LA 71107
Caddo Parish (318) 626-5462

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 Tedie Nelson's NPI number?

The NPI number for Tedie Nelson is 1386194165. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Tedie Nelson located?

Tedie Nelson practices at 4609 N Market St Ste. A, Shreveport, LA 71107. The listed phone number is (318) 626-5462.

What is Tedie Nelson'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 Tedie Nelson was last updated on October 5, 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.