Shreveport Mental Health Center | |
509 S Barnett Springs St Ruston LA 71270-9011 | |
(318) 242-0026 | |
Not Available |
Full Name | Shreveport Mental Health Center |
---|---|
Speciality | Community/behavioral Health |
Location | 509 S Barnett Springs St, Ruston, Louisiana |
Authorized Official Name and Position | Terry Lee Jordan (SOCIAL WORKER III) |
Authorized Official Contact | 3186765111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shreveport Mental Health Center 509 S Barnett Springs St Ruston LA 71270-9011 Ph: (318) 242-0026 | Shreveport Mental Health Center 509 S Barnett Springs St Ruston LA 71270-9011 Ph: (318) 242-0026 |
NPI Number | 1124165196 |
---|---|
Provider Enumeration Date | 01/31/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124165196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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› Verified 6 days ago
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