# NORTHWEST LOUSIANA HUMAN SERVICES DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shreveport Behavioral Health Clinic - Children Services, SHREVEPORT BEHAVIORAL HEALTH CLINIC - CHILDREN SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396178885
- **Authorized official:** MS. ROSA BATES (ADMINISTRATIVE PROGRAM SPECIALIST A)
- **Authorized official phone:** (318) 676-5643

## Contact information

- **Practice address:** 1310 N. HEARNE AVE, SHREVEPORT, LA 71107-6516
- **Practice address phone:** (318) 676-5111
- **Practice address fax:** (318) 676-5944
- **Mailing address:** 1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
- **Mailing address phone:** (318) 676-5643
- **Mailing address fax:** (318) 676-5944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 2203781776 | LA | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 465 | LA | Yes |

## Other

- **Enumeration date:** 08/20/2013
- **Last updated:** 11/17/2025