Shreveport Mental Health

LBN: Shreveport Mental Health
Shreveport Mental Health is an health care organization with primary practice located at 1310 N Hearne Ave , Shreveport LA 71107-6516. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Shreveport Mental Health can be contacted via phone (318) 676-5111, or through Petterway, Robena via phone (318) 676-5111.

Contact Information

Primary practice address
1310 N Hearne Ave Shreveport LA 71107-6516
Phone: (318) 676-5111
Fax: (318) 676-5077
Website:
Map and Directions
Authorized official contact:
Name: Petterway, Robena
Phone: (318) 676-5111

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1184890337
LBN Legal business name Shreveport Mental Health
DBA Doing business as
Authorized official Petterway, Robena
Entity Organization
Organization subpart 1 Yes
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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