# PEACE OF MIND FAMILY AND MENTAL HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104751411
- **Authorized official:** OTISSICIA LATEAC HILL FNP (OWNER)
- **Authorized official phone:** (318) 272-5015

## Contact information

- **Practice address:** 2015 E 70TH ST, SHREVEPORT, LA 71105-5305
- **Practice address phone:** (318) 272-5015
- **Mailing address:** 2015 E 70TH ST, SHREVEPORT, LA 71105-5305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/17/2026
- **Last updated:** 06/23/2026