Mr Shaundred Dejuan Houston, MHP is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Mr Shaundred Dejuan Houston is licensed to practice in * (Not Available) (license number ) and his current practice location is
2715 Mackey Pl Ste 135, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 220-8423.
NPI number for Mr Shaundred Dejuan Houston is 1356810055 and his current mailing address is Po Box 602, Cotton Valley, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356810055.
Healthcare Provider's Profile
Full Name | Mr Shaundred Dejuan Houston |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 2715 Mackey Pl Ste 135, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356810055
- Provider Enumeration Date: 11/26/2018
- Last Update Date: 04/17/2019
Medical Identifiers
Medical identifiers for Mr Shaundred Dejuan Houston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356810055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shaundred Dejuan Houston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Shaundred Dejuan Houston, MHP Po Box 602, Cotton Valley, LA 71018-0602 Ph: (318) 773-1788 | Mr Shaundred Dejuan Houston, MHP 2715 Mackey Pl Ste 135, Shreveport, LA 71118-2528 Ph: (318) 220-8423 |
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