Organization
RED RIVER THERAPEUTIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE LEE (OWNER)
(318) 423-7963
Entity
Organization
Contact information
Practice address
2715 MACKEY PL STE 135, SHREVEPORT, LA 71118-2528
(318) 220-8423
(318) 220-8573
Mailing address
2715 MACKEY PL STE 135, SHREVEPORT, LA 71118-2528
(318) 220-8423
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
07/26/2023
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