Individual
MS. BEVERLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
101 FOUNTAIN VW, SHREVEPORT, LA 71118-2945
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-0441
AZ
101YP2500X
Professional Counselor
2768
LA
Other
Enumeration date
08/15/2006
Last updated
09/11/2025
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