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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH ELGIN BEATTY

Active

MR. KENNETH ELGIN BEATTY is a Mental Health Counselor healthcare provider located in SHREVEPORT, Louisiana. NPI 1902179336 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SHREVEPORT, LA

Registration Details

NPI Number
1902179336
Provider Type
Individual
Gender
Male
NPI Issued
Feb 15, 2012 (14.468450306983 yrs)
Last Updated
Feb 15, 2012

Practice Information

Address
864 OLIVE ST
SHREVEPORT, LA, 711042159
Browse LA providers · Browse ZIP 71104
Phone
3182220759
Fax
3182210216
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor

Other Mental Health Counselor Providers in SHREVEPORT, LA

Name Credential NPI
MS. CARLYE ABRAMS LMFT 1770510323
MS. MELISSA THOMAS LPC, LMFT 1679503080
MS. EDITH DEBORAH DLIN MSW 1831122522
MRS. WENDI P. GRABENER M.S. 1730290602
MRS. PAULA Y. SHEPHERD M.ED.,LPC, LMFT 1780766808
MRS. PAIGE W METZGAR M.A., NCC, LPC, LMFT 1144304106
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.