Individual
MILDRED RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4718 HEARNE AVE, SHREVEPORT, LA 71108
(318) 828-1521
(800) 795-6388
Mailing address
4718 HEARNE AVE, SHREVEPORT, LA 71108-2703
(318) 828-1521
(800) 795-6388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Enumeration date
08/30/2017
Last updated
07/23/2025
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