Organization · Type 2 NPI
Olivia Bury LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Shreveport, LA
NPI number
1790621902
Active
Practice location
905 Captain Shreve Dr
Shreveport, LA 71105-2806
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 1790621902
Olivia Bury LLC's National Provider Identifier is 1790621902, issued on Apr 28, 2026. 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 Apr 28, 2026.