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BEVERLY WILSON
NPI 1811449895
Counselor - Mental Health in Shreveport, LA

Active since October 26, 2016
9403 MANSFIELD RD, SHREVEPORT, LA 71118(903) 701-0425 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Wilson NPPES

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

BEVERLY WILSON (NPI 1811449895) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1811449895
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBEVERLY WILSON
Location Address9403 MANSFIELD RDShreveport, LA 71118-3815
Mailing AddressPo Box 5Rodessa, LA 71069-0005
Phone(903) 701-0425
Sole ProprietorYes
Enumeration DateOctober 26, 2016
✔ NPI 1811449895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9403 MANSFIELD RD, Shreveport, LA 71118
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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.

KRISTY KERCHELL JONES
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
JESSICA BOYD
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
ADRIANNA LOYD
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
ARNIESHA D KEENER
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
KHALA DESHAWN SCOTT MSW
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
CANDACE SINGER
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 773-3583
ELIZABETH PRUITT M.ED
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
KAYLA R WILLIAMS
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938

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 Beverly Wilson's NPI number?

The NPI number for Beverly Wilson is 1811449895. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Beverly Wilson located?

Beverly Wilson practices at 9403 Mansfield Rd, Shreveport, LA 71118. The listed phone number is (903) 701-0425.

What is Beverly 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 Beverly Wilson was last updated on October 26, 2016. 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.