Organization
YOUTH AND FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAMON D. PERRY (OWNER)
(318) 505-8976
Entity
Organization
Contact information
Practice address
106 E KINGS HWY STE 101, SHREVEPORT, LA 71104-3401
(318) 505-8976
(318) 505-8976
Mailing address
106 E KINGS HWY STE 101, SHREVEPORT, LA 71104-3401
(318) 505-8976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
5556
LA
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/01/2017
Last updated
03/17/2018
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