DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COURTNEY BLEDSOE

MEDICARE: COURTNEY BLEDSOE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6903LA
2104100000XSocial WorkerLA

General Provider Information

NPI Number : 1114387388
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY BLEDSOE
Provider Business Mailing Address
First Line : 745 KINGRIDGE PL
Second Line :
City : SHREVEPORT
State : LA
Zip : 71108-6017
Country : US
Telephone Number : 318-573-0872
Fax Number :
Provider Business Practice Location Address
First Line : 2620 CENTENARY BLVD STE 312
Second Line :
City : SHREVEPORT
State : LA
Zip : 71104-3358
Country : US
Telephone Number : 318-681-9935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2016
Last Update Date : 11/21/2023

Similar Medicare Providers

1093661191 — SHONDRIKA MICHELLE ROBERTSON
Practice Location Address:
2620 CENTENARY BLVD STE 312
SHREVEPORT, LA
71104-3358
Practice Phone: 318-681-9935
Practice Fax: 318-681-9938
1306193065 — MRS. KAREN D. BAIRD MA, LPC, LAC, NCC
Practice Location Address:
2620 CENTENARY BLVD STE 304
SHREVEPORT, LA
71104-3358
Practice Phone: 318-226-1555
Practice Fax: 318-226-0406
1336571058 — MS. SHARONDA C THOMAS M.ED, MHP
Practice Location Address:
2620 CENTENARY BLVD STE 312
SHREVEPORT, LA
71104-3358
Practice Phone: 318-681-9935
Practice Fax: 318-681-9938
1447617550 — SHANIKA CLARK
Practice Location Address:
2620 CENTENARY BLVD STE 312
SHREVEPORT, LA
71104-3358
Practice Phone: 318-681-9935
Practice Fax:
1316306905 — STEPHANIE MCCONNELL M.A.
Practice Location Address:
2620 CENTENARY BLVD STE 312
SHREVEPORT, LA
71104-3358
Practice Phone: 318-681-9935
Practice Fax:
1295195469 — CARLOS MORRIS
Practice Location Address:
2620 CENTENARY BLVD STE 312
SHREVEPORT, LA
71104-3358
Practice Phone: 318-216-5088
Practice Fax:

Directions to “ COURTNEY BLEDSOE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.