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Organization

NORTHWEST LOUSIANA HUMAN SERVICES DISTRICT

Active
Other names
Shreveport Behavioral Health Clinic - Children Services, SHREVEPORT BEHAVIORAL HEALTH CLINIC - CHILDREN SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROSA BATES (ADMINISTRATIVE PROGRAM SPECIALIST A)
(318) 676-5643
Entity
Organization

Contact information

Practice address
1310 N. HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5944
Mailing address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5643
(318) 676-5944

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2203781776
LA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
465
LA

Other

Enumeration date
08/20/2013
Last updated
11/17/2025
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