318 Therapy, LLC
Social Worker, Clinical in Shreveport, LA. Organization (NPI-2).
NPI number1417668146
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1417668146
- Entity type
- Organization (NPI-2)
- Legal business name
- 318 Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2022
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
3004 Knight St Bldg 6Shreveport, LA 71105-2502
Phone 214-207-1542
Mailing address
2838 Long Lake DrShreveport, LA 71106-8422
Phone 214-207-1542
Authorized official
Cristina Hayes
Clinical Social Worker
2142071542
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