ARK-LA-TEX SOUND MINDS LLC NPI 1770225120

NPI Information

ARK-LA-TEX SOUND MINDS, LLC is a psychiatric/mental health nurse practitioner in Shreveport, LA. ARK-LA-TEX SOUND MINDS, LLC NPI is 1770225120. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ark-la-tex Sound Minds, Llc.

The provider's business location address is:

2920 KNIGHT ST STE 102
SHREVEPORT, LA
ZIP 71105-412
Phone: (903) 650-1155
Fax: (318) 374-6467

The provider's authorized official is Laurie Smith Stiger .
The authorized official title is Pmhnp-bc and has the following contact phone number (903) 650-1155.

The CLIA number assigned to this NPI record is 19D2261579 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2022 and was last updated on 11/19/2022.

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:

Other Identifiers

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