DIAMOND SOLACE PSYCHIATRIC SERVICES NPI 1114740354

NPI Information

  • NPI: 1114740354
  • Provider Name: DIAMOND SOLACE PSYCHIATRIC SERVICES
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 401 EDWARDS ST STE 830
    SHREVEPORT, LA
    ZIP 71101
  • Phone: (225) 351-1506

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NPI Details

DIAMOND SOLACE PSYCHIATRIC SERVICES is a psychiatric/mental health nurse practitioner in Shreveport, LA. DIAMOND SOLACE PSYCHIATRIC SERVICES NPI is 1114740354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 EDWARDS ST STE 830
SHREVEPORT, LA
ZIP 71101-528
Phone: (225) 351-1506

The provider's authorized official is Kayontae Williams .
The authorized official title is Owner and has the following contact phone number (225) 351-1506.

The enumeration date for this NPI number is 11/6/2024 and was last updated on 11/6/2024.

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 License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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