| Pierremont Center Llc | |
|
5803 Youree Drive Suite E Shreveport LA 71105 | |
| (318) 865-5400 | |
| (318) 865-5800 |
| Full Name | Pierremont Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5803 Youree Drive, Shreveport, Louisiana |
| Authorized Official Name and Position | Claudia Harris (MEMEBER) |
| Authorized Official Contact | 3188655400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pierremont Center Llc 5803 Youree Drive Suite E Shreveport LA 71105 Ph: (318) 865-5400 | Pierremont Center Llc 5803 Youree Drive Suite E Shreveport LA 71105 Ph: (318) 865-5400 |
| NPI Number | 1306915517 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6800963620 |
|---|---|
| Medicare Enrollment ID | O20080920000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306915517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Claudia L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992806103 PECOS PAC ID: 9335043165 Enrollment ID: I20031124000296 |
| Provider Name | Lisa Harper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497842702 PECOS PAC ID: 0446539183 Enrollment ID: I20161121000170 |
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