Martin, Shawanda

Martin, Shawanda is an sole proprietor health care provider with primary practice located at 7871 Wasson Rd , Shreveport LA 71107-8867. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Martin, Shawanda can be contacted via phone (318) 751-3990.

Contact Information

Primary practice address
7871 Wasson Rd Shreveport LA 71107-8867
Phone: (318) 751-3990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13051 Louisiana

Profile Details

NPI number 1952770612
LBN Legal business name Martin, Shawanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2015
Last updated May 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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