Red River Therapeutic Solutions Llc - Medicare Mental Health Clinic in Shreveport, LA

Red River Therapeutic Solutions Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Shreveport, Louisiana. The current practice location for Red River Therapeutic Solutions Llc is 2715 Mackey Pl Ste 135, Shreveport, Louisiana. For appointments, you can reach them via phone at (318) 220-8423. The mailing address for Red River Therapeutic Solutions Llc is 2715 Mackey Pl Ste 135, Shreveport, Louisiana and phone number is (318) 220-8423.

Red River Therapeutic Solutions Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003279654. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (318) 220-8423.

Contact Information

Red River Therapeutic Solutions Llc
2715 Mackey Pl Ste 135
Shreveport
LA 71118-2528
(318) 220-8423
(318) 220-8573

Mental Health Clinic Profile

Full NameRed River Therapeutic Solutions Llc
SpecialityClinic/Center
Location2715 Mackey Pl Ste 135, Shreveport, Louisiana
Authorized Official Name and PositionTerrance Lee (OWNER)
Authorized Official Contact3184237963
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Red River Therapeutic Solutions Llc
2715 Mackey Pl Ste 135
Shreveport
LA 71118-2528

Ph: (318) 220-8423
Red River Therapeutic Solutions Llc
2715 Mackey Pl Ste 135
Shreveport
LA 71118-2528

Ph: (318) 220-8423

NPI Details:

NPI Number1003279654
Provider Enumeration Date03/31/2016
Last Update Date07/26/2023
Certification Date07/26/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0143605345
Medicare Enrollment IDO20220922004007

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Medical Identifiers

Medical identifiers for Red River Therapeutic Solutions Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003279654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103K00000XBehavior Analyst (* (Not Available))Secondary
251B00000XCase Management (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Red River Therapeutic Solutions Llc acts as a billing entity for following providers:
Provider NameAlisha Davis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174773295
PECOS PAC ID: 3971995218
Enrollment ID: I20220922004032

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