Organization
SHREVEPORT MENTAL HEALTH CENTER
Active
Parent organization
DEPT HEALTH AND HOSPITALS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPT HEALTH AND HOSPITALS
Authorized official
MS. CLEONA DENICE ROBINSON RN (REGISTERED NURSE3)
(318) 676-5135
Entity
Organization
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5135
Mailing address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5135
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
79957
LA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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