WK SOUTH SHREVEPORT BEHAVIORAL HEALTH (NPI# 1922231851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922231851 |
| Entity Type | Organization |
| Organization Name | WK SOUTH SHREVEPORT BEHAVIORAL HEALTH |
| Practice Address |
2508 Bert Kouns Loop Suite 203 Shreveport LA 71118-3133 |
| Mailing Address |
1202 Louisiana Ave Shreveport LA 71101-3910 |
| Practice Telephone | 3182125871 |
| Practice Fax Number | 3182125875 |
| Mailing Telephone | 3182128574 |
| Mailing Fax Number | 3182124153 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | GREG J. GAVIN (NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 3182124232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
2508 BERT KOUNS LOOP SUITE 203 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076120 | Sreedevi Yerrapragada | Internal Medicine | 2508 Bert Kouns Loop, Suite 400, Shreveport, LA 71118-3133 | 2005-07-08 |
| 1316386436 | Wk Pediatric Surgical Associates | Surgery | 2508 Bert Kouns Loop, Shreveport, LA 71118-3133 | 2013-06-21 |
| 1790057735 | Willis-knighton Medical Center, Inc. | Obstetrics & Gynecology | 2508 Bert Kouns Loop, Suite 105, Shreveport, LA 71118-3133 | 2012-02-07 |
| 1114256476 | Wk Shreveport Center for Geriatric Health | Psychiatry & Neurology | 2508 Bert Kouns Loop, Suite 303, Shreveport, LA 71118-3133 | 2009-12-16 |
| 1730311960 | Wk Shreveport Behavioral Wellness Center | Psychiatry & Neurology | 2508 Bert Kouns Loop, Suite 203, Shreveport, LA 71118-3133 | 2009-08-21 |
| 1245487404 | Charles Godfried Otu-nyarko | Pediatrics | 2508 Bert Kouns Loop, Suite 101, Shreveport, LA 71118-3133 | 2008-08-19 |
| 1124283320 | Wk Womens Health Clinic | Obstetrics & Gynecology | 2508 Bert Kouns Loop, Suite 201, Shreveport, LA 71118-3133 | 2008-07-28 |
| 1336302108 | Elizabeth Leroy | Obstetrics & Gynecology | 2508 Bert Kouns Loop, Suite 201, Shreveport, LA 71118-3133 | 2008-07-02 |
| 1386825172 | Wk Frederick and Braud Clinic | Family Medicine | 2508 Bert Kouns Loop, Suite 102, Shreveport, LA 71118-3133 | 2007-11-20 |
| 1336341106 | Lauren H Runnels | Obstetrics & Gynecology | 2508 Bert Kouns Loop, Suite 201, Shreveport, LA 71118-3133 | 2007-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235739 | Precision Telemed, LLC | Psychiatry & Neurology | 8977 Brandon Dr, Shreveport, LA 71118-2341 | 2020-11-02 |
| 1992165591 | Alinejad Wellness,inc | Psychiatry & Neurology | 1066 Rochel Dr, Shreveport, LA 71115-3889 | 2016-02-25 |
| 1255775052 | Shawn E. Mcneil | Psychiatry & Neurology | 1111 Line Ave Fl 3, Shreveport, LA 71101 | 2013-04-23 |
| 1609194356 | Wk Center for Psychiatric Support | Psychiatry & Neurology | 1111 Line Ave 3rd Floor Tower 2, Shreveport, LA 71101-3981 | 2010-05-05 |
| 1982836284 | Patrick E. Sewell Sr. | Psychiatry & Neurology | 3311 Line Ave., Shreveport, LA 71104 | 2009-08-20 |
| 1740481506 | Anshuman Jyoti | Psychiatry & Neurology | 2508 Bert Kouns Industrial Loop Ste 203, Shreveport, LA 71118-3175 | 2007-05-30 |
| 1942411483 | Kenneth Gregory Stephens | Psychiatry & Neurology | 727 Edgemont St, Shreveport, LA 71106-2223 | 2007-05-25 |
| 1770794083 | Devanshi K. Jani | Psychiatry & Neurology | 1666 E. Bert Kouns, Suite 220, Shreveport, LA 71105-5714 | 2007-05-25 |
| 1669584876 | Cecil Clifton Dopson Jr. | Psychiatry & Neurology | 610 Herndon St, Shreveport, LA 71101-4704 | 2006-09-01 |
| 1588773675 | Frances Edna Hagaman | Psychiatry & Neurology | 2924 Knight St, Building 3 Suite 350, Shreveport, LA 71105-2415 | 2006-08-30 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on WK SOUTH SHREVEPORT BEHAVIORAL HEALTH.
| 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.