Organization
A SOUND MIND MENTAL HEALTH CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL TAYLOR SMITH APRN (NURSE PRACTITIONER)
(318) 347-8566
Entity
Organization
Contact information
Practice address
2924 KNIGHT ST, SUITE 414, SHREVEPORT, LA 71105-2415
(318) 861-7340
(318) 861-7390
Mailing address
4152 CALDERWOOD DR, SHREVEPORT, LA 71119-7622
(318) 347-8566
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
RN038372-AP01083
LA
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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