| Resilient Minds Behavioral Health Services Llc | |
|
2021 Caroline St Shreveport LA 71108-2215 | |
| (318) 525-3040 | |
| Not Available |
| Full Name | Resilient Minds Behavioral Health Services Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2021 Caroline St, Shreveport, Louisiana |
| Authorized Official Name and Position | Katasha Draper (CEO) |
| Authorized Official Contact | 3185253040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Minds Behavioral Health Services Llc 2021 Caroline St Shreveport LA 71108-2215 Ph: (318) 525-3040 | Resilient Minds Behavioral Health Services Llc 2021 Caroline St Shreveport LA 71108-2215 Ph: (318) 525-3040 |
| NPI Number | 1649031030 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649031030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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