| Grace Behavioral Health Solutions | |
|
2924 Knight St Suite 414 Shreveport LA 71105-2415 | |
| (318) 861-7340 | |
| (318) 861-7390 |
| Full Name | Grace Behavioral Health Solutions |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2924 Knight St, Shreveport, Louisiana |
| Authorized Official Name and Position | Kimberly Dawn Law (PSYCHIATRIST) |
| Authorized Official Contact | 3184534084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Behavioral Health Solutions 2924 Knight St Suite 414 Shreveport LA 71105-2415 Ph: (318) 861-7340 | Grace Behavioral Health Solutions 2924 Knight St Suite 414 Shreveport LA 71105-2415 Ph: (318) 861-7340 |
| NPI Number | 1558662338 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 09/05/2017 |
| Medicare PECOS PAC ID | 2264615640 |
|---|---|
| Medicare Enrollment ID | O20110322000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558662338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD199987 (Louisiana) | Primary |
| Provider Name | Kimberly D. Law |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427029438 PECOS PAC ID: 2668481201 Enrollment ID: I20060411000116 |
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