Organization
NORTHWEST LOUISIANA BEHAVIORAL HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY GOAD (REGIONAL MANAGER)
(318) 676-5111
Entity
Organization
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
Mailing address
6201 BERT KOUNS INDUSTRIAL LOOP, LOT 870, SHREVEPORT, LA 71129-5056
(318) 688-6441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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