Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Dr. Earnest Jerome Wyatt Sr., LPC-S

Individual provider Professional Counselor · NPI 1689044588

Dr. Earnest Jerome Wyatt Sr., LPC-S is a Professional Counselor in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.

Licensed in
LA
In the registry since
2015
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Practice location Address checks out

510 E Stoner Ave
Shreveport, LA 71101-4243
Phone: (318) 221-8411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5202 (LA)

Record details

NPI number1689044588
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-S
Sole proprietorNo
NPI enumeratedOctober 5, 2015
Last updated in NPPESSeptember 16, 2026
Certification dateSeptember 16, 2026

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