| Shreveport Behavioral Health Clinic - Child & Adolescent | |
|
2924 Knight St Building Iii, 2nd Floor, Suite 350 Shreveport LA 71105-2415 | |
| (318) 862-3053 | |
| (318) 862-3057 |
| Full Name | Shreveport Behavioral Health Clinic - Child & Adolescent |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2924 Knight St, Shreveport, Louisiana |
| Authorized Official Name and Position | Allie D. Allen (DIR. OF OPERATIONS) |
| Authorized Official Contact | 3186765160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shreveport Behavioral Health Clinic - Child & Adolescent 2924 Knight St Building Iii, 2nd Floor, Suite 350 Shreveport LA 71105-2415 Ph: (318) 862-3053 | Shreveport Behavioral Health Clinic - Child & Adolescent 2924 Knight St Building Iii, 2nd Floor, Suite 350 Shreveport LA 71105-2415 Ph: (318) 862-3053 |
| NPI Number | 1871725192 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871725192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 105 (Louisiana) | Primary |
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