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:
Health care specialties
Specialty | Code | License # | 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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