Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pelican Bayou Counseling Agency-Texas

Organization Community/Behavioral Health Agency · NPI 1578169306

Pelican Bayou Counseling Agency-Texas is a Community/Behavioral Health Agency in Dallas, Texas. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1111 W Mockingbird Ln Ste 7-2
Dallas, TX 75247-5028
Phone: (318) 861-8938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1578169306
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPelican Bayou Counseling Agency Inc
Authorized official Brittney Jewitt — Ceo · (318) 470-1632
NPI enumeratedDecember 8, 2020
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020
Mailing address9403 Mansfield Rd, Shreveport, LA 71118-3815

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