Organization · Type 2 NPI

Brookys Haven

Mental Health Counselor · Shreveport, LA

NPI number 1790283638 Active

Practice location

217 Jones St
Shreveport, LA 71101-4021

Call (318) 423-1367 Map

Fax (318) 216-3380

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X101Y00000X (LA)
Mental Health Counselor Primary 101YM0800X101Y00000X (LA)
Mental Health Counselor 101YM0800X101YM0800X (LA)
Home Health Agency 251E00000X101YM0800X (LA)
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X103TH0004X (LA)

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About NPI 1790283638

Brookys Haven's National Provider Identifier is 1790283638, issued on Jan 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jun 16, 2018.