Magnolia Community Mental Health Facility Inc.

LBN: Magnolia Community Mental Health Facility Inc.
Magnolia Community Mental Health Facility Inc. is an health care organization with primary practice located at 2005 Creswell Ave , Shreveport LA 71104-2201. 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. Magnolia Community Mental Health Facility Inc. can be contacted via phone (318) 678-0907, or through Brantley, Dewarrent L. via phone (318) 678-0907.

Contact Information

Primary practice address
2005 Creswell Ave Shreveport LA 71104-2201
Phone: (318) 678-0907
Fax: (318) 678-9975
Website:
Map and Directions
Authorized official contact:
Name: Brantley, Dewarrent L.
Phone: (318) 678-0907

Health care specialties

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

Profile Details

NPI number 1982652301
LBN Legal business name Magnolia Community Mental Health Facility Inc.
DBA Doing business as
Authorized official Brantley, Dewarrent L.
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Feb 14th, 2008 - about 17 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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