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MRS. MARY TERESA WILLCOX CIT
NPI 1679084925
Counselor - Addiction (Substance Use Disorder) in Bossier City, LA

Active since October 13, 2017
1525 FULLILOVE DR, BOSSIER CITY, LA 71112(318) 747-1211 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Teresa Willcox Cit NPPES

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

MRS. MARY TERESA WILLCOX CIT (NPI 1679084925) is an individual addiction (substance use disorder) provider in Bossier City, Louisiana, licensed in Louisiana (3259) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1679084925
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. MARY TERESA WILLCOXCredential: CIT
Location Address1525 FULLILOVE DRBossier City, LA 71112-3346
Mailing Address2000 Fairfield AveShreveport, LA 71104-2002 · (318) 222-8511 · Fax (318) 222-3278
Phone(318) 747-1211
Sole ProprietorYes
Enumeration DateOctober 13, 2017
✔ NPI 1679084925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in LA · 3259
1525 FULLILOVE DR, Bossier City, LA 71112
Open in Google Maps ↗

Other Identifiers 1

Medicaid1699955815LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA PORTER LPC
Counselor (Addiction (Substance Use Disorder))
1525 FULLILOVE DR
BOSSIER CITY, LA 71112
Bossier Parish (318) 747-1211
AMANDA CURRY RSW, CIT
Counselor (Addiction (Substance Use Disorder))
1525 FULLILOVE DR
BOSSIER CITY, LA 71112
Bossier Parish (318) 747-1211
JILL LAMPSHIRE MS
Counselor (Addiction (Substance Use Disorder))
1525 FULLILOVE DR
BOSSIER CITY, LA 71112
Bossier Parish (318) 747-1211
MRS. LISA BYBEE OLVEY LPC
Counselor (Professional)
1525 FULLILOVE DR
BOSSIER CITY, LA 71112
Bossier Parish (318) 747-1211
MR. WILLIE BOWMAN COOK
Meals
1525 FULLILOVE DR
BOSSIER CITY, LA 71112
Bossier Parish (318) 222-8511
RICHARD SULLIVAN
Counselor (Addiction (Substance Use Disorder))
1525 FULLILOVE DR
BOSSIER CITY, LA 71112
Bossier Parish (318) 747-1111

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 Mary Willcox's NPI number?

The NPI number for Mary Willcox is 1679084925. It was assigned to this individual provider in the NPPES registry on October 13, 2017.

Where is Mary Willcox located?

Mary Willcox practices at 1525 Fullilove Dr, Bossier City, LA 71112. The listed phone number is (318) 747-1211.

What is Mary Willcox's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Willcox was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.