Shantae Meshelle Durden in Shreveport - Addiction (substance Use Disorder)
Shantae Meshelle Durden - NPI 1760689335
Shantae Meshelle Durden is a Addiction (substance Use Disorder) in Shreveport, Louisiana. Shantae Meshelle Durden practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Shantae Meshelle Durden is 1760689335. The last update date is 2022-07-21.
Shantae Meshelle Durden's current location address is 1310 N. Hearne Ave, Shreveport, Louisiana. You can contact this provider via phone number 3186765111 and fax number 3186765137. The mailing address for Shantae Meshelle Durden is 1310 N. Hearne Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shantae Meshelle Durden |
|---|---|
| Address | 1310 N. Hearne Ave, Shreveport, Louisiana |
| Phone Number | 3186765111 |
| Fax Number | 3186765137 |
| Sole Proprietor | N |
| Credentials | CAC |
NPI Number Detail
| NPI Number | 1760689335 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1310 N. Hearne Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 71107 |
| Phone Number | 3186765111 |
| Fax Number | 3186765137 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CAC1483 |
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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 10-digit identifier code issued to Shantae Meshelle Durden by the Centers for Medicare & Medicaid Services?
The Shantae Meshelle Durden has been assigned the NPI (National Provider Identifier) 1760689335 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Shantae Meshelle Durden is geographically located?
The Shantae Meshelle Durden is physically situated at the following location: 1310 N. Hearne Ave, Shreveport, LA, 71107.
What is Shantae Meshelle Durden's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shantae Meshelle Durden's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760689335 to Shantae Meshelle Durden?
The Shantae Meshelle Durden received its 1760689335 assignment from the Centers for Medicare & Medicaid Services on 2007-06-28.
As of what date were the details pertaining to Shantae Meshelle Durden last refreshed?
The information related to the Shantae Meshelle Durden, including its address, specialty, and other relevant details, was last updated on 2022-07-21.
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