Organization
ESIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE D NEWTON EDS (CEO/OWNER)
(318) 820-6857
Entity
Organization
Contact information
Practice address
7505 PINES RD STE 1200E, SHREVEPORT, LA 71129-3935
(318) 820-6857
Mailing address
3413 NATHAN CIR, SHREVEPORT, LA 71108-5343
(318) 820-6857
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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