MISS ULISSA SAMONE EDWARDS
NPI 1396269171
Counselor - Mental Health in Shreveport, LA

Active since August 02, 2017
820 JORDAN ST, SHREVEPORT, LA 71101(318) 208-8400 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 2, 2017 (2 updates tracked since 2017).

About Miss Ulissa Samone Edwards NPPES

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

MISS ULISSA SAMONE EDWARDS (NPI 1396269171) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1396269171
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS ULISSA SAMONE EDWARDS
Location Address820 JORDAN STShreveport, LA 71101-4518
Mailing Address820 Jordan StShreveport, LA 71101-4518 · (318) 208-8400
Sole ProprietorYes
Enumeration DateAugust 2, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1396269171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
820 JORDAN ST, Shreveport, LA 71101

Other Identifiers 1

Medicaid814371750LA

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.

Marriage & Family Therapist
820 JORDAN ST, SUITE 570
SHREVEPORT, LA 71101
Contractor
820 JORDAN ST, STE 510 B
SHREVEPORT, LA 71101
Counselor (Professional)
820 JORDAN ST, SUITE 401
SHREVEPORT, LA 71101
Social Worker (Clinical)
820 JORDAN ST, STE. 570
SHREVEPORT, LA 71101
Counselor (Mental Health)
820 JORDAN ST
SHREVEPORT, LA 71101
Prosthetic/Orthotic Supplier
820 JORDAN ST, SUITE 110
SHREVEPORT, LA 71101
Social Worker (Clinical)
820 JORDAN ST, SUITE 220
SHREVEPORT, LA 71101
Internal Medicine
820 JORDAN ST, SUITE 210
SHREVEPORT, LA 71101

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 Ulissa Edwards's NPI number?

The NPI number for Ulissa Edwards is 1396269171. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Ulissa Edwards located?

Ulissa Edwards practices at 820 Jordan St, Shreveport, LA 71101. The listed phone number is (318) 208-8400.

What is Ulissa Edwards'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 Ulissa Edwards was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.