Phoenix Health Services, Llc

LBN: Phoenix Health Services, Llc
Phoenix Health Services, Llc is an health care organization with primary practice located at 2021 Line Ave , Shreveport LA 71104-2124. 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. Phoenix Health Services, Llc can be contacted via phone (318) 221-0661, or through Donepudi, Suresh K via phone (318) 688-5416.

Contact Information

Primary practice address
2021 Line Ave Shreveport LA 71104-2124
Phone: (318) 221-0661
Fax: (318) 221-0662
Website:
Map and Directions
Authorized official contact:
Name: Donepudi, Suresh K Doctor of Medicine (MD)
Phone: (318) 688-5416

Health care specialties

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

Profile Details

NPI number 1013932904
LBN Legal business name Phoenix Health Services, Llc
DBA Doing business as
Authorized official Donepudi, Suresh K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 8th, 2008 - about 16 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.

Request for update

Popular Providers