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JERWIN JERMAINE WILSON
NPI 1811421084
Counselor - Mental Health in Shreveport, LA

Active since April 14, 2017
7505 PINES RD, SHREVEPORT, LA 71129(318) 562-3707 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jerwin Jermaine Wilson NPPES

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

JERWIN JERMAINE WILSON (NPI 1811421084) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1811421084
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJERWIN JERMAINE WILSON
Location Address7505 PINES RDShreveport, LA 71129-3935
Mailing Address6057 Fox Chase TrlShreveport, LA 71129-3540 · (318) 436-1022
Phone(318) 562-3707
Sole ProprietorNo
Enumeration DateApril 14, 2017
✔ NPI 1811421084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7505 PINES RD, Shreveport, LA 71129
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Other Providers at the Same Location NPPES 20

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

ELONDA GERARD
Case Manager/Care Coordinator
7505 PINES RD, SUITE 1255
SHREVEPORT, LA 71129
Caddo Parish (318) 716-1707
KESHA SIMMONS
Case Manager/Care Coordinator
7505 PINES RD
SHREVEPORT, LA 71129
Caddo Parish (318) 716-1707
LAKESHIA WYNETTE JACKSON
Case Manager/Care Coordinator
7505 PINES RD
SHREVEPORT, LA 71129
Caddo Parish (318) 683-4086
LIGHTHOUSE MINISTRIES PROVIDER CARE SERVICE, INC.
Nursing Care
7505 PINES RD, SUITE # 1170
SHREVEPORT, LA 71129
Caddo Parish (318) 688-4260
JIREH DME SUPPLIES, INC.
Durable Medical Equipment & Medical Supplies
7505 PINES RD, SUITE 1240
SHREVEPORT, LA 71129
Caddo Parish (318) 820-6476
BE YOU OUTREACH CENTER
Behavior Technician
7505 PINES RD, SUITE 1295
SHREVEPORT, LA 71129
Caddo Parish (318) 626-5626
SANAE DOMINIQUE
Counselor (Mental Health)
7505 PINES RD
SHREVEPORT, LA 71129
Caddo Parish (318) 562-3707
MR. BRUCE DEANDRE METCALF
Counselor
7505 PINES RD
SHREVEPORT, LA 71129
Caddo Parish (318) 562-3707

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 Jerwin Wilson's NPI number?

The NPI number for Jerwin Wilson is 1811421084. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Jerwin Wilson located?

Jerwin Wilson practices at 7505 Pines Rd, Shreveport, LA 71129. The listed phone number is (318) 562-3707.

What is Jerwin 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 Jerwin Wilson was last updated on April 14, 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.