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Organization

ADOLESCENT BEHAVIOR CRISIS CENTER, LLC

Active
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Organization

ADOLESCENT BEHAVIOR CRISIS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAQUINA DOVE-CUMMINGS (OWNER)
(318) 572-7840
Entity
Organization

Contact information

Practice address
2061 SILVER POINT DR, SHREVEPORT, LA 71106-7753
(318) 572-7840
Mailing address
2061 SILVER POINT DR, SHREVEPORT, LA 71106-7753

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility

Other

Enumeration date
10/01/2025
Last updated
02/11/2026
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