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MR. RANDY GERARD BORDELON
NPI 1891848008
Counselor - Mental Health in Shreveport, LA

Active since January 19, 2007
1310 N HEARNE AVE, SHREVEPORT, LA 71107(318) 676-5103(318) 676-5505 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randy Gerard Bordelon NPPES

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

MR. RANDY GERARD BORDELON (NPI 1891848008) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1891848008
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. RANDY GERARD BORDELON
Location Address1310 N HEARNE AVEShreveport, LA 71107-6516
Mailing Address1310 N Hearne AveShreveport, LA 71107-6516 · (318) 676-5103 · Fax (318) 676-5505
Phone(318) 676-5103
Fax(318) 676-5505
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891848008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1310 N HEARNE AVE, Shreveport, LA 71107
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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.

SHANNON ANN GOLDSMITH
Case Manager/Care Coordinator
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5328
JUANITA CARMELLA JONES FRALEY MA, NCC, LPC
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111
MR. LESLIE FRANK KIRKLAND P.D.
Pharmacist (Psychiatric)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5155
MS. LA DONNA RHNEE HAMBRICK GSW
Social Worker
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5135
SARA L RICE LPC
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111
DR. MICHAEL VITTORIO SUSANO M.D.
Psychiatry & Neurology (Psychiatry)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111
LAWRENCE E. WATSON
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5147
LISA HARRISON PENN CAC
Counselor (Addiction (Substance Use Disorder))
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111

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 Randy Bordelon's NPI number?

The NPI number for Randy Bordelon is 1891848008. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Randy Bordelon located?

Randy Bordelon practices at 1310 N Hearne Ave, Shreveport, LA 71107. The listed phone number is (318) 676-5103.

What is Randy Bordelon'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 Randy Bordelon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.