Shreveport Behavioral Health Clinic

LBN: Department Of Health & Hospitals
Shreveport Behavioral Health Clinic is an health care organization with primary practice located at 1310 North Hearne Ave. , Shreveport LA 71107. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Department Of Health & Hospitals can be contacted via phone (318) 676-5111, or through Allen, Allie D. via phone (318) 676-5160.

Contact Information

Primary practice address
1310 North Hearne Ave. Shreveport LA 71107
Phone: (318) 676-5111
Fax: (318) 676-5021
Website:
Map and Directions
Authorized official contact:
Name: Allen, Allie D.
Phone: (318) 676-5160

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 105 Louisiana

Profile Details

NPI number 1215083332
LBN Legal business name Department Of Health & Hospitals
DBA Doing business as Shreveport Behavioral Health Clinic
Authorized official Allen, Allie D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 30th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215083332 NPPES
Louisiana MEDICAID 1710083

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