DEPARTMENT OF HEALTH & HOSPITALS (NPI# 1871725192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871725192 |
Entity Type | Organization |
Organization Name | DEPARTMENT OF HEALTH & HOSPITALS |
Other Organization Name | SHREVEPORT BEHAVIORAL HEALTH CLINIC - CHILD & ADOLESCENT |
Practice Address |
2924 Knight St Building IIi, 2nd Floor, Suite 350 Shreveport LA 71105-2415 |
Practice Telephone | 3188623053 |
Practice Fax Number | 3188623057 |
Mailing Telephone | 3188623053 |
Mailing Fax Number | 3188623080 |
Enumeration Date | 2009-08-20 |
Last Update Date | 2013-07-31 |
Authorized Official Name | MS. ALLIE D. ALLEN (DIR. OF OPERATIONS) |
Authorized Official Telephone | 3186765160 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
105 | LA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Shreveport Behavioral Health Clinic - Child & Adolescent | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427195460 | Department of Health & Hospitals | Clinic/Center | 501 Louisiana Avenue, Mansfield, LA 71052-2621 | 2007-01-31 |
1871648931 | Department of Health & Hospitals | Clinic/Center | 1313 Ringgold Avenue, Coushatta, LA 71019-1016 | 2007-01-25 |
1073668547 | Department of Health & Hospitals | Clinic/Center | 435 Homer Road, Minden, LA 71055 | 2007-01-24 |
1225183742 | Department of Health & Hospitals | Clinic/Center | 265 Highland Drive, Many, LA 71449-3717 | 2007-01-24 |
1699726299 | Department of Health & Hospitals | Counselor | 202 E Robert St, Hammond, LA 70401-3350 | 2006-05-16 |
1033167762 | Department of Health & Hospitals | Substance Abuse Rehabilitation Facility | 23664 Cardinal Cove, Mandeville, LA 70448 | 2006-05-05 |
1437116886 | Department of Health & Hospitals | Clinic/Center | 580 Main St, Many, LA 71449-3005 | 2006-04-28 |
1205893641 | Department of Health & Hospitals | Clinic/Center | 210 Medical Drive, Natchitoches, LA 71457-6052 | 2006-04-28 |
1629218375 | Department of Health & Hospitals | Counselor | 2513 Ferrand St, Monroe, LA 71201-3210 | 2009-02-20 |
1215083332 | Department of Health & Hospitals | Clinic/Center | 1310 North Hearne Ave., Shreveport, LA 71107 | 2007-01-25 |
Street Address |
2924 KNIGHT ST BUILDING III, 2ND FLOOR, SUITE 350 |
City | SHREVEPORT |
State | LA |
Zip Code | 71105-2415 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588773675 | Frances Edna Hagaman | Psychiatry & Neurology | 2924 Knight St, Building 3 Suite 350, Shreveport, LA 71105-2415 | 2006-08-30 |
1104456581 | Shavonda Rachel Jones | Counselor | 2924 Knight St, Shreveport, LA 71105-2415 | 2020-01-24 |
1720639149 | Maloree Breanne Wilkins | Case Manager/Care Coordinator | 2924 Knight St, Shreveport, LA 71105-2415 | 2019-09-26 |
1285158907 | Julie Anna Wyatt | Counselor | 2924 Knight St, Shreveport, LA 71105-2415 | 2017-08-03 |
1043751670 | Unconditional Care Behavioral Center | Community/Behavioral Health | 2924 Knight St, Suite 318, Shreveport, LA 71105-2415 | 2017-03-15 |
1326584327 | Faye S Player | Social Worker | 2924 Knight St, Suite 426, Shreveport, LA 71105-2415 | 2017-01-13 |
1700329950 | Aynslee Camille Wilmot | Behavior Technician | 2924 Knight St, Suite 434, Shreveport, LA 71105-2415 | 2016-11-21 |
1235681586 | Valerie Dawn Millikin | Counselor | 2924 Knight St, 426, Shreveport, LA 71105-2415 | 2016-11-02 |
1629529250 | Chassity Brown | Counselor | 2924 Knight St, Suite 318, Shreveport, LA 71105-2415 | 2016-10-19 |
1225488489 | Kerenie Spencer | Counselor | 2924 Knight St, Shreveport, LA 71105-2415 | 2016-06-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
Find all providers in zip 71105 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558804740 | Red River Therapeutic Soulutions | Clinic/Center | 7000 Red Fox Trl Apt 237, Shreveport, LA 71129-3546 | 2016-11-21 |
1396178885 | Northwest Louisiana Human Services District | Clinic/Center | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2013-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114552841 | Journey To Awareness Counseling, LLC | Clinic/Center | 4266 W Main St Ste 109, Gray, LA 70359-6421 | 2020-03-03 |
1538708326 | Satorry Mczeal | Clinic/Center | 2618 Acacia St, New Orleans, LA 70122-5916 | 2019-12-27 |
1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
1669997698 | Fleur Des Maisons | Clinic/Center | 2223 Franklin Ave, New Orleans, LA 70117-6929 | 2017-08-10 |
1285093922 | Live Oak Behavioral Health Group, L.L.C. | Clinic/Center | 7084 Cemetary Hwy, At Live Oak Landing, Saint Martinville, LA 70582-7900 | 2016-02-22 |
1598135535 | Abundant Care Center | Clinic/Center | 12855 Castle Hill Dr, Baton Rouge, LA 70814-7426 | 2015-10-02 |
1821470188 | Ebony C Jackson LLC | Clinic/Center | 23791 Southpoint Dr, Denham Springs, LA 70726-6856 | 2015-06-23 |
1598180275 | Peep Inc. | Clinic/Center | 1411 Orange St, Monroe, LA 71202-2323 | 2014-03-04 |
1093092694 | H & B Caring | Clinic/Center | 1009 Clara St, Jennings, LA 70546-5129 | 2011-11-10 |
1821225996 | Emerson Centre, Inc. | Clinic/Center | 301 E Alabama Ave, Ruston, LA 71270-3981 | 2009-06-16 |
Find all providers with the same taxonomy |
City | SHREVEPORT |
Zip Code | 71105 |
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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.