RENAISSANCE HEALTHCARE LLC NPI 1598950370

NPI Information

  • NPI: 1598950370
  • Provider Name: RENAISSANCE HEALTHCARE LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 3321 YOUREE DR
    SUITE 100
    SHREVEPORT, LA
    ZIP 71105
  • Phone: (318) 868-6033

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NPI Details

RENAISSANCE HEALTHCARE LLC is a mental health (including community mental health center) clinic center in Shreveport, LA. RENAISSANCE HEALTHCARE LLC NPI is 1598950370. The provider is registered as an organization entity type.

The provider's business location address is:

3321 YOUREE DR
SUITE 100
SHREVEPORT, LA
ZIP 71105-123
Phone: (318) 868-6033
Fax: (318) 868-6011

The provider's authorized official is James A Joubert .
The authorized official title is Member/manager and has the following contact phone number (225) 387-5585.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 9/13/2007.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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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