Heroes First Mental Health | |
5657 N Lakeshore Dr Shreveport LA 71107-9382 | |
(318) 218-2360 | |
(318) 668-7811 |
Full Name | Heroes First Mental Health |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5657 N Lakeshore Dr, Shreveport, Louisiana |
Authorized Official Name and Position | Jesse L Fallis (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 3182182360 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heroes First Mental Health 5657 N Lakeshore Dr Shreveport LA 71107-9382 Ph: (318) 218-2360 | Heroes First Mental Health 5657 N Lakeshore Dr Shreveport LA 71107-9382 Ph: (318) 218-2360 |
NPI Number | 1285484006 |
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Provider Enumeration Date | 03/25/2024 |
Last Update Date | 03/25/2024 |
Certification Date | 03/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285484006 | NPI | - | NPPES |
1538615067 | Other | LA | JESSE FALLIS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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