IndividualActive
Deangelo Brooks
NPI 1114495603 · Military Health Care Provider · Shreveport, LA
Provider details
- NPI number
- 1114495603
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
1105 Island Park Blvd Apt 1126
Shreveport, LA 71105-4783
Phone: (318) 404-7134
Approximate (ZIP-level) locationGet directions
Mailing address
5720 S Lakeshore Dr Apt 605
Shreveport, LA 71119-3930
Registry dates
- Enumerated
- 2018-11-02
- Last updated
- 2020-09-22
- Certified
- 2020-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.