RED RIVER BEHAVIORAL CENTER LLC NPI 1881638880

NPI Information

  • NPI: 1881638880
  • Provider Name: RED RIVER BEHAVIORAL CENTER LLC
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • CLIA Number: 19D1043537
  • Address: 2800 MELROSE AVE
    BOSSIER CITY, LA
    ZIP 71111
  • Phone: (318) 549-2033

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NPI Details

RED RIVER BEHAVIORAL CENTER LLC is a psychiatric hospital in Bossier City, LA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. RED RIVER BEHAVIORAL CENTER LLC NPI is 1881638880. The provider is registered as an organization entity type.

The provider's business location address is:

2800 MELROSE AVE
BOSSIER CITY, LA
ZIP 71111
Phone: (318) 549-2033
Fax: (318) 549-3745

The provider's authorized official is Susan Kottenbrook .
The authorized official title is Director/ Administrator and has the following contact phone number (318) 549-2033.

The CLIA number assigned to this NPI record is 19D1043537 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 3/17/2020.

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
1283Q00000XPsychiatric Hospital572LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11709565MEDICAIDLOUISIANA

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: 11/21/2025

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