| Northwest Louisiana Behavioral Health System | |
|
1310 N Hearne Ave Shreveport LA 71107-6516 | |
| (318) 676-5111 | |
| Not Available |
| Full Name | Northwest Louisiana Behavioral Health System |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1310 N Hearne Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Wendy Goad (REGIONAL MANAGER) |
| Authorized Official Contact | 3186765111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Louisiana Behavioral Health System 6201 Bert Kouns Industrial Loop Lot 870 Shreveport LA 71129-5056 Ph: (318) 688-6441 | Northwest Louisiana Behavioral Health System 1310 N Hearne Ave Shreveport LA 71107-6516 Ph: (318) 676-5111 |
| NPI Number | 1568509255 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568509255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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