| Renaissance Healthcare Llc | |
|
3321 Youree Dr Suite 100 Shreveport LA 71105-2123 | |
| (318) 868-6033 | |
| (318) 868-6011 |
| Full Name | Renaissance Healthcare Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3321 Youree Dr, Shreveport, Louisiana |
| Authorized Official Name and Position | James A Joubert (MEMBER/MANAGER) |
| Authorized Official Contact | 2253875585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Healthcare Llc 251 Florida St Suite 201 Baton Rouge LA 70801-1703 Ph: (225) 387-5585 | Renaissance Healthcare Llc 3321 Youree Dr Suite 100 Shreveport LA 71105-2123 Ph: (318) 868-6033 |
| NPI Number | 1598950370 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598950370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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