Organization · Type 2 NPI
Divine Behavioral Health, LLC
Professional Counselor · Shreveport, LA
NPI number
1801409313
Active
Practice location
8870 Youree Dr Ste 105
Shreveport, LA 71115-2512
Mailing address
2803 Jonathan Ln
Shreveport, LA 71108-5531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1801409313
Divine Behavioral Health, LLC's National Provider Identifier is 1801409313, issued on Aug 25, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Aug 25, 2020.