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Organization
KINGDOM EXPRESSIONS LLC
Active
Organization
KINGDOM EXPRESSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKERA L MCKENZIE (CEO)
(337) 602-6391
Entity
Organization
Contact information
Practice address
1614 HIGHWAY 14, LAKE CHARLES, LA 70601-4929
(337) 508-9023
Mailing address
1614 HIGHWAY 14, LAKE CHARLES, LA 70601-4929
(337) 602-6391
(225) 495-4722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/29/2016
Last updated
09/05/2026
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