Organization
HEALING SHADES OF BLUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWANDA MARTIN (OWNER)
(318) 751-3990
Entity
Organization
Contact information
Practice address
7871 WASSON RD, SHREVEPORT, LA 71107-8867
(318) 751-3990
Mailing address
7871 WASSON RD, SHREVEPORT, LA 71107-8867
(318) 751-3990
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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