IndividualActive
Adriana Ascencio, LCSW
NPI 1639851272 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bossier City, LA
Provider details
- NPI number
- 1639851272
- Entity type
- Individual
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 14901 (LA)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 14901 (LA)
Ambulatory Health Care Facilities
Practice location
2123 Shed Rd Ste 11
Bossier City, LA 71111-3617
Phone: (318) 726-2063
Fax: (318) 333-1647
Approximate (ZIP-level) locationGet directions
Mailing address
2123 Shed Rd Ste 11
Bossier City, LA 71111-3617
Registry dates
- Enumerated
- 2023-08-03
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.