Organization
CENTER FOR PSYCHOLOGICAL TRAUMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK WILLIAM WHITE LCSW (OWNER)
(318) 221-4455
Entity
Organization
Contact information
Practice address
820 JORDAN ST, STE. 570, SHREVEPORT, LA 71101-4518
(318) 221-4455
(318) 221-4459
Mailing address
820 JORDAN ST, STE. 570, SHREVEPORT, LA 71101-4518
(318) 221-4455
(318) 221-4459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8807
LA
Other
Enumeration date
10/22/2007
Last updated
11/09/2007
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