Shreveport Mental Health
NPI #1184890337 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1184890337
- Entity Type
- Organization
- Organization Name
- Shreveport Mental Health
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF LOUISIANA
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 7, 2008
- Last Updated
- May 7, 2008
Practice Location
- Address
- 1310 N HEARNE AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71107-6516
- Phone
- (318) 676-5111
Authorized Official
- Name
- ROBENA PETTERWAY
- Title
- MHC MANAGER 4
- Phone
- (318) 676-5111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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