Whitehead, Brian O

Whitehead, Brian O is an individual health care provider with primary practice located at 510 E Stoner Ave , Shreveport LA 71101-4243. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Whitehead, Brian O can be contacted via phone (318) 221-8411.

Contact Information

Primary practice address
510 E Stoner Ave Shreveport LA 71101-4243
Phone: (318) 221-8411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10698 Louisiana
Behavioral Health & Social Service Providers / Social Worker 104100000X 1314C Arkansas

Profile Details

NPI number 1386832574
LBN Legal business name Whitehead, Brian O
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Oct 10th, 2023 - about last year

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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