The ELCA is organized into 65 synods (64 geographical and one non-geographical) located in nine regions.  Each synod (a Greek word meaning “a way together”) is led by a bishop.

The geographical area of the NT-NL Synod includes Northern Louisiana including Shreveport; Northern Texas generally North of a line from Marshall, Longview, Tyler, Rosebud, Bartlett (Temple area), Killeen, San Angelo, Midland/Odessa; and also Durant, Oklahoma, and Clovis, New Mexico.