Organization · Type 2 NPI

Department of Health & Hospitals

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

NPI number 1215083332 Active

Practice location

1310 North Hearne Ave.
Shreveport, LA 71107

Call (318) 676-5111 Map

Fax (318) 676-5021

Mailing address

PO Box 7904
Shreveport, LA 71137-7904

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X105 (LA)

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

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About NPI 1215083332

Department of Health & Hospitals's National Provider Identifier is 1215083332, issued on Jan 25, 2007. 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 Jul 30, 2013.