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SHANEDRA FULLER
NPI 1538511449
Counselor - Mental Health in Shreveport, LA

Active since July 05, 2016
3126 BERT KOUN LOOP, SHREVEPORT, LA 71118(318) 469-2183 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shanedra Fuller NPPES

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

SHANEDRA FULLER (NPI 1538511449) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1538511449
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANEDRA FULLER
Location Address3126 BERT KOUN LOOPShreveport, LA 71118-2903
Mailing Address3126 Bert Koun LoopShreveport, LA 71118-2903
Phone(318) 469-2183
Sole ProprietorNo
Enumeration DateJuly 5, 2016
✔ NPI 1538511449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3126 BERT KOUN LOOP, Shreveport, LA 71118
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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 Shanedra Fuller's NPI number?

The NPI number for Shanedra Fuller is 1538511449. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Where is Shanedra Fuller located?

Shanedra Fuller practices at 3126 Bert Koun Loop, Shreveport, LA 71118. The listed phone number is (318) 469-2183.

What is Shanedra Fuller'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 Shanedra Fuller was last updated on July 5, 2016. 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.