# DESTINED FOR OPTIONS - SHREVEPORT

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

## Provider details

- **NPI number:** 1962384313
- **Authorized official:** MS. BRE' JON BRILEY MHS (OWNER)
- **Authorized official phone:** (504) 309-0259

## Contact information

- **Practice address:** 610 MARSHALL ST STE 521, SHREVEPORT, LA 71101-3650
- **Practice address phone:** (504) 715-1182
- **Practice address fax:** (504) 309-2702
- **Mailing address:** 610 MARSHALL ST STE 521, SHREVEPORT, LA 71101-3650
- **Mailing address phone:** (504) 715-1182
- **Mailing address fax:** (504) 309-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2025
- **Last updated:** 08/24/2026