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

Mr. Kenneth Elgin Beatty

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902179336

Mr. Kenneth Elgin Beatty is an Addiction (Substance Use Disorder) Counselor in Shreveport, Louisiana. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3

Practice location Address checks out

864 Olive St
Shreveport, LA 71104-2159
Phone: (318) 222-0759
Fax: (318) 221-0216
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1902179336
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 15, 2012
Last updated in NPPESFebruary 15, 2012
Mailing address6225 Dillingham Ave, Shreveport, LA 71106-3303

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