Organization
ARK-LA-TEX MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MCTIRE NP (OWNER)
(318) 416-9649
Entity
Organization
Contact information
Practice address
8660 FERN AVE STE 120, SHREVEPORT, LA 71105-5657
(318) 416-9649
(318) 416-9646
Mailing address
PO BOX 837, HOWE, TX 75459-0837
(903) 487-2248
(903) 487-2306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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