| Women's And Children's Center For Mental Wellness | |
|
7591 Fern Avenue Suite 1705 Shreveport LA 71105-5749 | |
| (318) 550-3398 | |
| (318) 550-3481 |
| Full Name | Women's And Children's Center For Mental Wellness |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7591 Fern Avenue, Shreveport, Louisiana |
| Authorized Official Name and Position | Angela Miller (OFFICE MANAGER) |
| Authorized Official Contact | 3185503398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Women's And Children's Center For Mental Wellness 7591 Fern Avenue Suite 1705 Shreveport LA 71105-5749 Ph: (318) 550-3398 | Women's And Children's Center For Mental Wellness 7591 Fern Avenue Suite 1705 Shreveport LA 71105-5749 Ph: (318) 550-3398 |
| NPI Number | 1043516453 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 05/12/2011 |
| Medicare PECOS PAC ID | 4385820026 |
|---|---|
| Medicare Enrollment ID | O20110516000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043516453 | NPI | - | NPPES |
| 1265466197 | Other | LA | JASJIT SINGH NPI |
| 1821208224 | Other | LA | MANISH SARAN NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 200924 (Louisiana) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 201509 (Louisiana) | Secondary |
| Provider Name | Jasjit K Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265466197 PECOS PAC ID: 5698779890 Enrollment ID: I20060830000475 |
| Provider Name | Manish Saran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821208224 PECOS PAC ID: 9638221146 Enrollment ID: I20090714000720 |
| Provider Name | Theresa L Stewart |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043238447 PECOS PAC ID: 3476679846 Enrollment ID: I20100923000662 |
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