| Skyline Management Group | |
|
820 Jordan St Ste 465 Shreveport LA 71101-4526 | |
| (318) 207-1038 | |
| Not Available |
| Full Name | Skyline Management Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 820 Jordan St Ste 465, Shreveport, Louisiana |
| Authorized Official Name and Position | Stanley Lester (ADMINSTRATOR) |
| Authorized Official Contact | 3182071038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Management Group 820 Jordan St Ste 465 Shreveport LA 71101-4526 Ph: (318) 207-1038 | Skyline Management Group 820 Jordan St Ste 465 Shreveport LA 71101-4526 Ph: (318) 207-1038 |
| NPI Number | 1043456783 |
|---|---|
| Provider Enumeration Date | 12/31/2008 |
| Last Update Date | 12/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043456783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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