Organization · Type 2 NPI
Phoenix Health Services, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Shreveport, LA
NPI number
1013932904
Active
Practice location
2021 Line Ave
Shreveport, LA 71104-2124
Fax (318) 221-0662
Mailing address
8921 Mansfield Rd
Shreveport, LA 71118-2144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1013932904
Phoenix Health Services, LLC's National Provider Identifier is 1013932904, issued on Jul 13, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Shreveport, LA. The record was last updated on Aug 8, 2008.