Individual
MRS. GEORGIA LYNN KENYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
(318) 429-6938
Mailing address
5180 LINTON CUTOFF RD, BENTON, LA 71006-8770
(318) 617-5953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10336
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417252230
—
LA
Enumeration date
08/31/2018
Last updated
08/26/2025
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