Organization
COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD MITCHELL (DIRECTOR)
(318) 459-1600
Entity
Organization
Contact information
Practice address
6705 PINES RD STE 1100, SHREVEPORT, LA 71129-2511
(318) 459-1600
Mailing address
6705 PINES RD STE 1100, SHREVEPORT, LA 71129-2511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/16/2015
Last updated
07/03/2023
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