| Volunteers Of America Of North Louisiana | |
|
458 Herndon St Shreveport LA 71101-4859 | |
| (318) 429-6938 | |
| (318) 629-2870 |
| Full Name | Volunteers Of America Of North Louisiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 458 Herndon St, Shreveport, Louisiana |
| Authorized Official Name and Position | Jennifer Black (CFO) |
| Authorized Official Contact | 3184296948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Volunteers Of America Of North Louisiana 360 Jordan Street Shreveport LA 71101 Ph: (318) 221-2669 | Volunteers Of America Of North Louisiana 458 Herndon St Shreveport LA 71101-4859 Ph: (318) 429-6938 |
| NPI Number | 1417252230 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 4486958071 |
|---|---|
| Medicare Enrollment ID | O20160202000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417252230 | NPI | - | NPPES |
| 2137719 | Medicaid | LA |
| Provider Name | Katherine E Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497998835 PECOS PAC ID: 8628395407 Enrollment ID: I20150317001074 |
| Provider Name | Matthew S Menard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407148992 PECOS PAC ID: 9032403753 Enrollment ID: I20190703000927 |
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