Organization · Type 2 NPI

Mmo of Shreveport, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Shreveport, LA

NPI number 1124067145 Active

Practice location

3341 Youree Dr, Suite 102
Shreveport, LA 71105-2149

Call (318) 688-6228 Map

Fax (318) 688-6466

Mailing address

728 North Blvd
Baton Rouge, LA 70802-5724

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1124067145

Mmo of Shreveport, LLC's National Provider Identifier is 1124067145, issued on Jun 5, 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 Oct 3, 2008.