| Clinical & Forensic Psychology Of Shreveport | |
|
2800 Youree Dr Ste 369 Shreveport LA 71104-3646 | |
| (318) 685-9148 | |
| (318) 693-0103 |
| Full Name | Clinical & Forensic Psychology Of Shreveport |
|---|---|
| Speciality | Psychologist |
| Location | 2800 Youree Dr Ste 369, Shreveport, Louisiana |
| Authorized Official Name and Position | Josie Larkins (OFFICE MANAGER) |
| Authorized Official Contact | 3186859148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical & Forensic Psychology Of Shreveport 2800 Youree Dr Ste 369 Shreveport LA 71104-3646 Ph: (318) 685-9148 | Clinical & Forensic Psychology Of Shreveport 2800 Youree Dr Ste 369 Shreveport LA 71104-3646 Ph: (318) 685-9148 |
| NPI Number | 1316577141 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 8628404662 |
|---|---|
| Medicare Enrollment ID | O20200211000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316577141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Russell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114347846 PECOS PAC ID: 1951626035 Enrollment ID: I20170728000500 |
Cbs Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 Hawn Ave, Shreveport, LA 71107 Phone: 317-617-5869 Fax: 317-675-0226 | |
Red River Therapeutic Solutions Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2715 Mackey Pl Ste 135, Shreveport, LA 71118 Phone: 318-220-8423 Fax: 318-220-8573 | |
Roan Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 E Bert Kouns Industrial Loop # 102, Shreveport, LA 71105 Phone: 318-798-4444 Fax: 318-795-4748 | |
Sunshine Mental Health Counseling Service, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Youree Dr, Bldg B Suite 426, Shreveport, LA 71104 Phone: 318-617-4385 | |
Clw Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 Knight St Ste 112, Shreveport, LA 71105 Phone: 318-510-0612 | |
Unshattered Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Texas St Ste 1050-04, Shreveport, LA 71101 Phone: 318-688-8218 | |
Travelers Counseling Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Marshall St, Shreveport, LA 71101 Phone: 318-606-5105 Fax: 318-606-5908 |