Adjuvant Behavioral Health Of Louisiana, LLC
Clinic/Center, Multi-Specialty in Shreveport, LA. Organization (NPI-2).
NPI number1568204253
StatusActive
Last updated in NPPESNov 11, 2024
Details
- NPI
- 1568204253
- Entity type
- Organization (NPI-2)
- Legal business name
- Adjuvant Behavioral Health Of Louisiana, LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2024
- Certification date
- Nov 11, 2024
- Last updated
- Nov 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 104100000X | Social Worker | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
333 Texas St Ste 1300 1368Shreveport, LA 71101-3666
Phone 866-912-2746 · Fax 800-420-2305
Mailing address
11754 Jollyville Rd Ste 110Austin, TX 78759-3948
Phone 866-912-2746 · Fax 800-420-2305
Authorized official
Joshua Myers
Ceo
8669122746
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