NORTHWEST LOUISIANA HUMAN SERVICES DISTRICT (NPI# 1821421686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821421686 |
| Entity Type | Organization |
| Organization Name | NORTHWEST LOUISIANA HUMAN SERVICES DISTRICT |
| Other Organization Name | SHREVEPORT BEHAVIORAL HEALTH CLINIC |
| Practice Address |
1310 N Hearne Ave Shreveport LA 71107-6516 |
| Practice Telephone | 3186765111 |
| Practice Fax Number | 3186765021 |
| Mailing Telephone | 3186765111 |
| Mailing Fax Number | 3186765021 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2015-12-03 |
| Authorized Official Name | MS. CAROL W ROBERTSON (ACCOUNTING SUPERVISOR) |
| Authorized Official Telephone | 3188623067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
2203782546 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1710083 | 05 | |
| LA | BEHAVIORAL HEALTH SERVICE PROVIDER | 2203782546 | 01 |
| Other Name | Type Code |
|---|---|
| Shreveport Behavioral Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700211299 | Northwest Louisiana Human Services District | Clinic/Center | 265 Highland Dr, Many, LA 71449-3717 | 2013-09-04 |
| 1437584927 | Northwest Louisiana Human Services District | Clinic/Center | 501 Louisiana St, Mansfield, LA 71052-2621 | 2013-09-04 |
| 1528493012 | Northwest Louisiana Human Services District | Clinic/Center | 1313 Ringgold Ave, Coushatta, LA 71019-9078 | 2013-09-04 |
| 1366875874 | Northwest Louisiana Human Services District | Clinic/Center | 210 Medical Dr, Natchitoches, LA 71457-6052 | 2013-08-20 |
| 1396178885 | Northwest Louisiana Human Services District | Clinic/Center | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2013-08-20 |
| 1144653817 | Northwest Louisiana Human Services District | Clinic/Center | 502 Nella St, Minden, LA 71055-3034 | 2013-08-16 |
| Street Address |
1310 N HEARNE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-6516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911775 | Juanita Carmella Jones | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2005-06-10 |
| 1679106504 | Cathy Ann Eddington | Registered Nurse | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2020-02-19 |
| 1245719483 | Karla Jones-gipson | Nurse Practitioner | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2018-08-08 |
| 1104336858 | Robyn Noelle Allen | Social Worker | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2017-10-09 |
| 1740799642 | Dorothy Cary Armand | Social Worker | 1310 N Hearne Ave, Shreveport, LA 71107 | 2017-09-22 |
| 1255882221 | Stephanie Bradley | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2016-10-14 |
| 1740645845 | Antonio Thrower | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2015-12-16 |
| 1134594203 | Kanesha Louis | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107 | 2015-12-01 |
| 1255704524 | Laura Elizabeth Brock | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2015-11-08 |
| 1639540362 | Barbara Thomas | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2015-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019156 | Johnson Behavioral Health Group | Clinic/Center | 4830 Line Ave Ste 302, Shreveport, LA 71106-1530 | 2020-10-02 |
| 1104479799 | Families First Counseling and Wellness, LLC | Clinic/Center | 2020 Hollywood Ave, Shreveport, LA 71108-3920 | 2019-07-22 |
| 1174087530 | Jl Counseling | Clinic/Center | 1545 Line Ave Ste 320e, Shreveport, LA 71101-4630 | 2019-01-29 |
| 1568948396 | Scere's Mediation & Counseling Services | Clinic/Center | 610 Marshall St Ste 625, Shreveport, LA 71101-3652 | 2018-07-16 |
| 1700384831 | Zodiac Holding Group | Clinic/Center | 3611 Greenway Pl, Shreveport, LA 71105-2011 | 2018-01-23 |
| 1235539644 | Envision Counseling Services LLC | Clinic/Center | 7505 Pines Rd Ste 1230, Shreveport, LA 71129-3900 | 2014-09-04 |
| 1457773657 | Comprehensive Assessments, Inc. | Clinic/Center | 3010 Knight St, Suite 125, Shreveport, LA 71105-2553 | 2014-01-08 |
| 1366687527 | Northwest Cmhc, L.L.C. | Clinic/Center | 2121 Fairfield Ave, Suite 210/220, Shreveport, LA 71104-2057 | 2008-12-02 |
| 1598950370 | Renaissance Healthcare LLC | Clinic/Center | 3321 Youree Dr, Suite 100, Shreveport, LA 71105-2123 | 2007-09-13 |
| 1568534857 | Community Enrichment Programs LLC | Clinic/Center | 842 Margaret Pl, Shreveport, LA 71101-4521 | 2006-11-14 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
Please comment or provide details below to improve the information on NORTHWEST LOUISIANA HUMAN SERVICES DISTRICT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.