| Behavioral Medicine & Addictive Disorders, Inc. | |
|
7330 Fern Ave Ste 502 Shreveport LA 71105-4983 | |
| (318) 681-8100 | |
| (318) 681-8106 |
| Full Name | Behavioral Medicine & Addictive Disorders, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7330 Fern Ave Ste 502, Shreveport, Louisiana |
| Authorized Official Name and Position | Sandra Williams (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3186818100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Medicine & Addictive Disorders, Inc. 7330 Fern Ave Ste 502 Shreveport LA 71105-4983 Ph: (318) 681-8100 | Behavioral Medicine & Addictive Disorders, Inc. 7330 Fern Ave Ste 502 Shreveport LA 71105-4983 Ph: (318) 681-8100 |
| NPI Number | 1508310806 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 08/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508310806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5599 (Louisiana) | Secondary |
| 251S00000X | Community/behavioral Health | 5599 (Louisiana) | Primary |
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