BHG LXII LLC NPI 1134838857

NPI Information

NPI: 1134838857
Provider Name: BHG LXII LLC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Doing Business As: BHG MEDICAL SERVICES - LOUISIANA
CLIA Number: 19D2303795
Address: 1303 LINE AVE STE 600
OBOT ROOM # 100
SHREVEPORT, LA
ZIP 71101
Phone: (318) 425-3400

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NPI Details

BHG LXII LLC is a rehabilitation and substance use disorder clinic center in Shreveport, LA. BHG LXII LLC NPI is 1134838857. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Medical Services - Louisiana.

The provider's business location address is:

1303 LINE AVE STE 600
OBOT ROOM # 100
SHREVEPORT, LA
ZIP 71101-638
Phone: (318) 425-3400
Fax: (318) 425-3447

The provider's authorized official is Jay Higham .
The authorized official title is Ceo and has the following contact phone number (214) 365-6112.

The CLIA number assigned to this NPI record is 19D2303795 - other - office based opiod with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2022 and was last updated on 12/26/2024.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM2800X	Clinic/Center	Methadone	No
3	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: 11/21/2025

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