| North Louisiana Whole Health Treatment Center | |
|
1513 Line Avenue Shreveport LA 71101-4621 | |
| (318) 425-4096 | |
| (318) 424-2627 |
| Full Name | North Louisiana Whole Health Treatment Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1513 Line Avenue, Shreveport, Louisiana |
| Authorized Official Name and Position | Chaim Rottenberg (ASSET MANAGER) |
| Authorized Official Contact | 3475225970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Louisiana Whole Health Treatment Center 1513 Line Avenue Suite 115 Shreveport LA 71101-4621 Ph: (318) 425-4096 | North Louisiana Whole Health Treatment Center 1513 Line Avenue Shreveport LA 71101-4621 Ph: (318) 425-4096 |
| NPI Number | 1598344848 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 06/03/2021 |
| Certification Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598344848 | NPI | - | NPPES |
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