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Organization
PEACE OF MIND FAMILY AND MENTAL HEALTH CLINIC
Active
Organization
PEACE OF MIND FAMILY AND MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTISSICIA LATEAC HILL FNP (OWNER)
(318) 272-5015
Entity
Organization
Contact information
Practice address
2015 E 70TH ST, SHREVEPORT, LA 71105-5305
(318) 272-5015
Mailing address
2015 E 70TH ST, SHREVEPORT, LA 71105-5305
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/17/2026
Last updated
06/23/2026
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