Organization
DEPARTMENT OF HEALTH & HOSPITALS
Active
Other names
Shreveport Behavioral Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLIE D. ALLEN (DIR. OF OPERATIONS)
(318) 676-5160
Entity
Organization
Contact information
Practice address
1310 NORTH HEARNE AVE., SHREVEPORT, LA 71107
(318) 676-5111
(318) 676-5021
Mailing address
PO BOX 7904, SHREVEPORT, LA 71137-7904
(318) 676-5111
(318) 676-5021
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
105
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710083
—
LA
Enumeration date
01/25/2007
Last updated
07/30/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us