Organization
ARK LA TEX COUNSELING & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDERA MONETTE (ADMINISTRATOR)
(318) 670-8313
Entity
Organization
Contact information
Practice address
7505 PINES RD STE 1104, SHREVEPORT, LA 71129-3900
(318) 670-8313
Mailing address
7505 PINES RD STE 1104, SHREVEPORT, LA 71129-3900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/15/2017
Last updated
06/22/2023
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