COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION NPI 1306455456

NPI Information

  • NPI: 1306455456
  • Provider Name: COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 2120 BERT KOUNS INDUSTRIAL LOOP STE K-L
    SHREVEPORT, LA
    ZIP 71118
  • Phone: (318) 688-3350

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NPI Details

COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION is a federally qualified health center (fqhc) clinic center in Shreveport, LA. COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION NPI is 1306455456. The provider is registered as an organization entity type.

The provider's business location address is:

2120 BERT KOUNS INDUSTRIAL LOOP STE K-L
SHREVEPORT, LA
ZIP 71118-351
Phone: (318) 688-3350

The provider's authorized official is Mary M Chumley .
The authorized official title is Ceo and has the following contact phone number (318) 688-3350.

The enumeration date for this NPI number is 7/24/2020 and was last updated on 7/24/2020.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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: 3/30/2025

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