Shreveport Mental Health Center in Ruston - Community/behavioral Health
Shreveport Mental Health Center - NPI 1124165196
Shreveport Mental Health Center is a Community/behavioral Health in Ruston, Louisiana. Shreveport Mental Health Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Shreveport Mental Health Center is 1124165196. The last update date is 2020-08-22.
Shreveport Mental Health Center's current location address is 509 S Barnett Springs St, Ruston, Louisiana. You can contact this provider via phone number 3182420026. The mailing address for Shreveport Mental Health Center is 509 S Barnett Springs St, Ruston, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shreveport Mental Health Center |
|---|---|
| Address | 509 S Barnett Springs St, Ruston, Louisiana |
| Phone Number | 3182420026 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOCIAL WOR |
|---|---|
| Authorized Official Name | Jordan Lee Terry |
| Credentials | G.S.W. |
| Telephone Number | 3186765111 |
NPI Number Detail
| NPI Number | 1124165196 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 509 S Barnett Springs St |
|---|---|
| City | Ruston |
| State | Louisiana (LA) |
| Post Code | 712709011 |
| Phone Number | 3182420026 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the Shreveport Mental Health Center's 1124165196?
The Shreveport Mental Health Center's NPI (National Provider Identifier) Number is 1124165196. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shreveport Mental Health Center's facilities are situated?
The facilities of Shreveport Mental Health Center are physically located at the following address: 509 S Barnett Springs St, Ruston, LA, 712709011.
What is the Shreveport Mental Health Center's area of specialization and corresponding taxonomy classification?
The Shreveport Mental Health Center's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1124165196 to Shreveport Mental Health Center?
The Centers for Medicare & Medicaid Services assigned the 1124165196 to Shreveport Mental Health Center on 2007-01-31.
As of what date were the details related to Shreveport Mental Health Center most recently updated or revised?
The information pertaining to Shreveport Mental Health Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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