Center For Psychological Trauma, Llc in Shreveport - Clinical
Center For Psychological Trauma, Llc - NPI 1588853048
Center For Psychological Trauma, Llc is a Clinical in Shreveport, Louisiana. Center For Psychological Trauma, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Center For Psychological Trauma, Llc is 1588853048. The last update date is 2007-11-09.
Center For Psychological Trauma, Llc's current location address is 820 Jordan St, Shreveport, Louisiana. You can contact this provider via phone number 3182214455 and fax number 3182214459. The mailing address for Center For Psychological Trauma, Llc is 820 Jordan St, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Psychological Trauma, Llc |
|---|---|
| Address | 820 Jordan St, Shreveport, Louisiana |
| Phone Number | 3182214455 |
| Fax Number | 3182214459 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | White William Frank |
| Credentials | LCSW |
| Telephone Number | 3182214455 |
NPI Number Detail
| NPI Number | 1588853048 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
| Address | 820 Jordan St |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014518 |
| Phone Number | 3182214455 |
| Fax Number | 3182214459 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 8807 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code issued to Center For Psychological Trauma, Llc by the Centers for Medicare & Medicaid Services?
The Center For Psychological Trauma, Llc has been assigned the NPI (National Provider Identifier) 1588853048 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 Center For Psychological Trauma, Llc is geographically located?
The Center For Psychological Trauma, Llc is physically situated at the following location: 820 Jordan St, Shreveport, LA, 711014518.
What is Center For Psychological Trauma, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Center For Psychological Trauma, Llc's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Center For Psychological Trauma, Llc receive the assignment of its 1588853048 from the Centers for Medicare & Medicaid Services?
The Center For Psychological Trauma, Llc was issued its 1588853048 by the Centers for Medicare & Medicaid Services on 2007-10-22.
When was the information regarding Center For Psychological Trauma, Llc most recently updated?
The details pertaining to the Center For Psychological Trauma, Llc, including its address, specialty, and other relevant information, were last refreshed on 2007-11-09.