Organization
SHREVEPORT MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MOHATT LCSW (SOCIAL WORKER IV)
(318) 676-5111
Entity
Organization
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5077
Mailing address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5077
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5084
LA
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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