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MR. LARRY COLENZO WILSON
NPI 1750869285
Counselor - Mental Health in Shreveport, LA

Active since August 06, 2018
6224 N INWOOD RD, SHREVEPORT, LA 71119(318) 453-0447 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Larry Colenzo Wilson NPPES

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

MR. LARRY COLENZO WILSON (NPI 1750869285) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1750869285
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. LARRY COLENZO WILSON
Location Address6224 N INWOOD RDShreveport, LA 71119-7213
Mailing Address6224 N Inwood RdShreveport, LA 71119-7213 · (318) 453-0447
Phone(318) 453-0447
Sole ProprietorYes
Enumeration DateAugust 6, 2018
✔ NPI 1750869285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6224 N INWOOD RD, Shreveport, LA 71119
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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 Larry Wilson's NPI number?

The NPI number for Larry Wilson is 1750869285. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Larry Wilson located?

Larry Wilson practices at 6224 N Inwood Rd, Shreveport, LA 71119. The listed phone number is (318) 453-0447.

What is Larry 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 Larry Wilson was last updated on August 6, 2018. 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.