James McNeely III
Community/Behavioral Health in Shreveport, LA. Individual provider (NPI-1).
NPI number1063907970
StatusActive
Last updated in NPPESJul 16, 2018
Details
- NPI
- 1063907970
- Entity type
- Individual (NPI-1)
- Name
- James McNeely III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2018
- Last updated
- Jul 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 251K00000X | Public Health or Welfare | – | – |
Practice location
5922 Alaska LnShreveport, LA 71107
Phone 318-572-6863
Mailing address
5922 Alaska LnShreveport, LA 71107-2002
Phone 318-572-6863
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