| Community Collaboration Llc | |
|
3825 Gilbert Dr Suite 135 Shreveport LA 71104-5000 | |
| (318) 207-0267 | |
| (844) 871-2020 |
| Full Name | Community Collaboration Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3825 Gilbert Dr, Shreveport, Louisiana |
| Authorized Official Name and Position | Nakia Shana Thomas (OWNER) |
| Authorized Official Contact | 3182070267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Collaboration Llc 3825 Gilbert Dr Suite 135 Shreveport LA 71104-5000 Ph: (318) 207-0267 | Community Collaboration Llc 3825 Gilbert Dr Suite 135 Shreveport LA 71104-5000 Ph: (318) 207-0267 |
| NPI Number | 1275077257 |
|---|---|
| Provider Enumeration Date | 12/11/2016 |
| Last Update Date | 12/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275077257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 9568 (Louisiana) | Primary |
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