Individual
WILLIAM PIERRE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2657 VIVIAN ST, SHREVEPORT, LA 71108-2742
(318) 658-0227
Mailing address
100 CARONDELET DR, SHREVEPORT, LA 71109-3917
(318) 658-0227
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
LA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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