Organization
DESERVE2HEAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHADRIC LOTT MA, MS, CMHC (CEO)
(318) 272-9044
Entity
Organization
Contact information
Practice address
2620 CENTENARY BLVD, SHREVEPORT, LA 71104-3356
(318) 272-9044
Mailing address
609 KINGRIDGE PL, SHREVEPORT, LA 71108-6015
(318) 272-9044
(318) 272-9044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851989727
—
LA
Enumeration date
07/05/2025
Last updated
07/05/2025
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