ANDRE WILSON B.S.
NPI 1538605704
Counselor - Mental Health in Shreveport, LA
About Andre Wilson B.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRE WILSON B.S. (NPI 1538605704) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since January 2017.
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 Andre Wilson's NPI number?
The NPI number for Andre Wilson is 1538605704. It was assigned to this individual provider in the NPPES registry on January 12, 2017.
Where is Andre Wilson located?
Andre Wilson practices at 9017 Moray Dr, Shreveport, LA 71129. The listed phone number is (318) 218-0761.
What is Andre Wilson'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 Andre Wilson was last updated on January 12, 2017. 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.
# Andre Wilson, B.S. · NPI 1538605704
Mental Health provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since January 12, 2017.
## Identity
- **NPI:** 1538605704 (Entity type: Individual)
- **Enumerated:** January 12, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 9017 MORAY DR, Shreveport, LA 71129-5127
- **Phone:** (318) 218-0761
## Record status
- **NPPES last updated:** January 12, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1538605704) · Data from the CMS NPPES public registry.