Organization
BEHAVIORAL MEDICINE & ADDICTIVE DISORDERS, INC.
Active
Organization
BEHAVIORAL MEDICINE & ADDICTIVE DISORDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA WILLIAMS LPC-S (CLINICAL DIRECTOR)
(318) 681-8100
Entity
Organization
Contact information
Practice address
7330 FERN AVE STE 502, SHREVEPORT, LA 71105-4983
(318) 681-8100
(318) 681-8106
Mailing address
7330 FERN AVE STE 502, SHREVEPORT, LA 71105-4983
(318) 681-8100
(318) 681-8106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5599
LA
251S00000X
Community/Behavioral Health Agency
Primary
5599
LA
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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