Organization
COMMUNITY COLLABORATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKIA SHANA THOMAS LCSW (OWNER)
(318) 207-0267
Entity
Organization
Contact information
Practice address
3825 GILBERT DR, SUITE 135, SHREVEPORT, LA 71104-5000
(318) 207-0267
(844) 871-2020
Mailing address
3825 GILBERT DR, SUITE 135, SHREVEPORT, LA 71104-5000
(318) 207-0267
(844) 871-2020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9568
LA
Other
Enumeration date
12/11/2016
Last updated
12/11/2016
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