Gipson, Leandre
Gipson, Leandre is an sole proprietor health care provider with primary practice located at 404 Hearne Ave , Shreveport LA 71103. He recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Gipson, Leandre can be contacted via phone (318) 716-1369.Contact Information
Primary practice address
404 Hearne Ave
Shreveport LA 71103
Phone: (318) 716-1369
Fax: (318) 675-0120
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 007657849 | Louisiana |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1841665890 |
---|---|
LBN Legal business name | Gipson, Leandre |
Credentials | MHP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 2nd, 2015 |
Last updated | Jun 26th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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