Organization · Type 2 NPI

Department of Health & Hospitals

Adolescent and Children Mental Health Clinic/Center · Shreveport, LA

NPI number 1871725192 Active

Practice location

2924 Knight St, Building III, 2nd Floor, Suite 350
Shreveport, LA 71105-2415

Fax (318) 862-3057

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855X105 (LA)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1871725192

Department of Health & Hospitals's National Provider Identifier is 1871725192, issued on Aug 20, 2009. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Shreveport, LA. The record was last updated on Jul 31, 2013.