Organization
COMMUNITY ENRICHMENT PROGRAMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MICHELLE PLATER (PRESIDENT ADMINISTRATOR)
(318) 675-0406
Entity
Organization
Contact information
Practice address
842 MARGARET PL, SHREVEPORT, LA 71101-4521
(318) 675-0406
(318) 675-0408
Mailing address
2015 FAIRFIELD AVE STE 1A, SHREVEPORT, LA 71104-2066
(318) 675-0406
(318) 675-0408
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103926
—
LA
Enumeration date
11/14/2006
Last updated
12/14/2022
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