Organization
AUTUMN CREEK HEALTH SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON TERRELL MS (OWNER/CEO)
(318) 453-3895
Entity
Organization
Contact information
Practice address
2924 KNIGHT ST, SUITE 426, SHREVEPORT, LA 71105-2415
(318) 754-3560
(318) 779-0439
Mailing address
2924 KNIGHT ST, SUITE 426, SHREVEPORT, LA 71105-2415
(318) 754-3560
(318) 779-0439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
BH0011664
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
07/10/2023
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