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POSITIVE CHANGE COUNSELING AGENCY
NPI 1891130084
Community/Behavioral Health in Shreveport, LA

Active since May 01, 2013
351 W 79TH ST, SHREVEPORT, LA 71106(318) 688-8190(318) 688-8193 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Positive Change Counseling Agency NPPES

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

POSITIVE CHANGE COUNSELING AGENCY (NPI 1891130084) is a healthcare organization registered as a community/behavioral health in Shreveport, Louisiana and active in the NPI registry since May 2013. The organization lists Marty Tyrone Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1891130084
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePOSITIVE CHANGE COUNSELING AGENCY
Location Address351 W 79TH STShreveport, LA 71106-4819
Mailing Address348 W 79th StShreveport, LA 71106-4820 · (318) 688-8190 · Fax (318) 688-8193
Phone(318) 688-8190
Fax(318) 688-8193
Organization SubpartNo
Authorized OfficialMarty Tyrone JohnsonOwner · (318) 779-8527
Enumeration DateMay 1, 2013
Last NPPES UpdateJanuary 5, 2017
✔ NPI 1891130084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
351 W 79TH ST, Shreveport, LA 71106
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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.

DONNA STEWART
Case Manager/Care Coordinator
351 W 79TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 688-8190
CASEY THOMAS
Counselor (Mental Health)
351 W 79TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 688-8190
TRACY RICHARDSON
Counselor (Mental Health)
351 W 79TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 688-8190
LACYNTHIA DEWHART
Counselor (Mental Health)
351 W 79TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 688-8190
REGINA BRADFORD
Community Health Worker
351 W 79TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 688-8190
KATHY MURPHY
Counselor (Mental Health)
351 W 79TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 688-8190
BENITA MCCRAY
Case Manager/Care Coordinator
351 W 79TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 688-8190
MS. NICOLE LISELLE THOMAS
Counselor (Mental Health)
351 W 79TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 688-8190

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 Positive Change Counseling Agency's NPI number?

The NPI number for Positive Change Counseling Agency is 1891130084. It was assigned to this organization in the NPPES registry on May 1, 2013.

Where is Positive Change Counseling Agency located?

Positive Change Counseling Agency is located at 351 W 79th St, Shreveport, LA 71106. The listed phone number is (318) 688-8190.

What is Positive Change Counseling Agency's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Positive Change Counseling Agency was last updated on January 5, 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.