| Shreveport Mental Health Center | |
|
509 S Barnett Springs St Ruston LA 71270-9011 | |
| (318) 242-0026 | |
| Not Available |
| Full Name | Shreveport Mental Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 509 S Barnett Springs St, Ruston, Louisiana |
| Authorized Official Name and Position | Terry Lee Jordan (SOCIAL WORKER III) |
| Authorized Official Contact | 3186765111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shreveport Mental Health Center 509 S Barnett Springs St Ruston LA 71270-9011 Ph: (318) 242-0026 | Shreveport Mental Health Center 509 S Barnett Springs St Ruston LA 71270-9011 Ph: (318) 242-0026 |
| NPI Number | 1124165196 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124165196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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