Healthcare Provider Details

I. General information

NPI: 1679926885
Provider Name (Legal Business Name): LET'S TALK COUNSELING AND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2016
Last Update Date: 07/04/2023
Certification Date: 07/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 CRESTWOOD DR
SHREVEPORT LA
71118-2113
US

IV. Provider business mailing address

2520 CRESTWOOD DR
SHREVEPORT LA
71118-2113
US

V. Phone/Fax

Practice location:
  • Phone: 318-868-3093
  • Fax: 318-868-3094
Mailing address:
  • Phone: 318-868-3093
  • Fax: 318-868-3094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TRESSELAR WILLIAMS-LEE
Title or Position: CEO
Credential: LCSW
Phone: 318-868-3093