FOUNDATION RECOVERY CENTER NPI 1649944117

NPI Information

NPI: 1649944117
Provider Name: FOUNDATION RECOVERY CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2419 SOUTHERN AVE
SHREVEPORT, LA
ZIP 71104
Phone: (318) 227-1475
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FOUNDATION RECOVERY CENTER is a rehabilitation and substance use disorder clinic center in Shreveport, LA. FOUNDATION RECOVERY CENTER NPI is 1649944117. The provider is registered as an organization entity type.

The provider's business location address is:

2419 SOUTHERN AVE
SHREVEPORT, LA
ZIP 71104-969
Phone: (318) 227-1475
Fax: (318) 227-1472

The provider's authorized official is Tara T Dupree .
The authorized official title is Office Manager and has the following contact phone number (318) 716-9085.

The enumeration date for this NPI number is 8/6/2021 and was last updated on 3/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	261QR0800X	Clinic/Center	Recovery Care	No
4	324500000X	Substance Abuse Rehabilitation Facility		No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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