Chemical Dependency Services, Llc in Shreveport - Addiction (substance Use Disorder)
Chemical Dependency Services, Llc - NPI 1659403921
Chemical Dependency Services, Llc is a Addiction (substance Use Disorder) in Shreveport, Louisiana. Chemical Dependency Services, Llc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Chemical Dependency Services, Llc is 1659403921. The last update date is 2020-08-22.
Chemical Dependency Services, Llc's current location address is 1545 Line Ave Ste 170, Shreveport, Louisiana. You can contact this provider via phone number 3184253333 and fax number 2252081850. The mailing address for Chemical Dependency Services, Llc is 1545 Line Ave Ste 170, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chemical Dependency Services, Llc |
|---|---|
| Address | 1545 Line Ave Ste 170, Shreveport, Louisiana |
| Phone Number | 3184253333 |
| Fax Number | 2252081850 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bonvillain Layne Robert |
| Credentials | LCSW |
| Telephone Number | 3184253333 |
NPI Number Detail
| NPI Number | 1659403921 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1545 Line Ave Ste 170 |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014629 |
| Phone Number | 3184253333 |
| Fax Number | 2252081850 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 316 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identifier code issued to Chemical Dependency Services, Llc by the Centers for Medicare & Medicaid Services?
The Chemical Dependency Services, Llc has been assigned the NPI (National Provider Identifier) 1659403921. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Chemical Dependency Services, Llc's physical address?
The Chemical Dependency Services, Llc is physically located at 1545 Line Ave Ste 170, in the city of Shreveport, LA, with the postal code 711014629.
What is the area of specialization for Chemical Dependency Services, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Chemical Dependency Services, Llc is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did Chemical Dependency Services, Llc receive its 1659403921 assignment from the Centers for Medicare & Medicaid Services?
The Chemical Dependency Services, Llc was assigned its 1659403921 on 2007-03-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Chemical Dependency Services, Llc's information last updated?
The Chemical Dependency Services, Llc's information was last updated on 2020-08-22.
NPI Number: 1467458307
Address: 324 Datura St, West Palm Beach, FL