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RED RIVER THERAPEUTIC SOULUTIONS NPI 1558804740


NPI Information

NPI: 1558804740
Provider Name: RED RIVER THERAPEUTIC SOULUTIONS
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
7000 RED FOX TRL APT 237
SHREVEPORT, LA
ZIP 71129
Phone: (318) 423-7963
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RED RIVER THERAPEUTIC SOULUTIONS is an adolescent and children mental health clinic center in Shreveport, LA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. RED RIVER THERAPEUTIC SOULUTIONS NPI is 1558804740. The provider is registered as an organization entity type.

The provider's business location address is:

7000 RED FOX TRL APT 237
SHREVEPORT, LA
ZIP 71129-546
Phone: (318) 423-7963

The provider's authorized official is Vonetta Faye Cook .
The authorized official title is Mental Health Professionsal and has the following contact phone number (318) 402-7789.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 11/21/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental Health251S00000XLOUISIANAYes

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

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