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Organization

BROOKYS HAVEN

Active
Parent organization
BROOKYS HAVEN
Other names
Brookys Haven
Organization subpart
Yes

Provider details

NPI number
Legal business name
BROOKYS HAVEN
Authorized official
DIANE WILLIAMS (OWNER)
(318) 423-1367
Entity
Organization

Contact information

Practice address
217 JONES ST, SHREVEPORT, LA 71101-4021
(318) 423-1367
(318) 216-3380
Mailing address
217 JONES ST, SHREVEPORT, LA 71101-4021
(318) 423-1367
(318) 216-3380

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101Y00000X
LA
101YM0800X
Mental Health Counselor
Primary
101Y00000X
LA
101YM0800X
Mental Health Counselor
101YM0800X
LA
251E00000X
Home Health Agency
101YM0800X
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
103TH0004X
LA

Other

Enumeration date
01/25/2018
Last updated
06/16/2018
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