Organization
LIFE CHANGING MENTAL HEALTH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOIS MARIE WHITE (ACTIVITY DIRECTOR)
(318) 635-1668
Entity
Organization
Contact information
Practice address
3937 PINES RD. SUITE H, SHREVEPORT, LA 71119-7301
(318) 635-1668
Mailing address
3937 PINES RD. SUITE H, SHREVEPORT, LA 71119-7301
(318) 635-1668
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
07/21/2011
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