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MARK NETTLES LPC
NPI 1679248025
Counselor - Professional in Shreveport, LA

Active since August 09, 2021
748 CECILE PL, SHREVEPORT, LA 71106(318) 525-6979 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark Nettles Lpc NPPES

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

MARK NETTLES LPC (NPI 1679248025) is an individual professional provider in Shreveport, Louisiana, licensed in Louisiana (5331) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1679248025
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARK NETTLESCredential: LPC
Location Address748 CECILE PLShreveport, LA 71106-1202
Mailing Address748 Cecile PlShreveport, LA 71106-1202
Phone(318) 525-6979
Sole ProprietorYes
Enumeration DateAugust 9, 2021
NPPES CertifiedAugust 9, 2021
✔ NPI 1679248025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 5331
748 CECILE PL, Shreveport, LA 71106
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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 Mark Nettles's NPI number?

The NPI number for Mark Nettles is 1679248025. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Mark Nettles located?

Mark Nettles practices at 748 Cecile Pl, Shreveport, LA 71106. The listed phone number is (318) 525-6979.

What is Mark Nettles's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mark Nettles was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.