SHREVEPORT MENTAL HEALTH NPI 1184890337

NPI Information

NPI: 1184890337
Provider Name: SHREVEPORT MENTAL HEALTH
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1310 N HEARNE AVE
SHREVEPORT, LA
ZIP 71107
Phone: (318) 676-5111
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SHREVEPORT MENTAL HEALTH is a mental health counselor in Shreveport, LA. SHREVEPORT MENTAL HEALTH NPI is 1184890337. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1310 N HEARNE AVE
SHREVEPORT, LA
ZIP 71107-516
Phone: (318) 676-5111
Fax: (318) 676-5077

The provider's authorized official is Robena Petterway .
The authorized official title is Mhc Manager 4 and has the following contact phone number (318) 676-5111.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 5/7/2008.

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
1	101YM0800X	Counselor	Mental Health			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: 4/28/2024

NPI Synchronization or Removal

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