Organization · NPI-2

Affinity Behavioral Health Services

Clinic/Center, Mental Health (Including Community Mental Health Center) · Shreveport, LA

NPI number1639884067
StatusActive
Last updated in NPPESApr 24, 2024

Details

NPI
1639884067
Entity type
Organization (NPI-2)
Legal business name
Affinity Behavioral Health Services
Organization subpart
Yes
Enumeration date
Jan 19, 2023
Certification date
Apr 24, 2024
Last updated
Apr 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
251B00000X Case Management––
251S00000X Community/Behavioral Health––

Practice location

1845 Line Ave Ste A
Shreveport, LA 71101-4611

Phone 318-670-7447

Mailing address

1845 Line Ave Ste A
Shreveport, LA 71101-4611

Authorized official

Keith Cummings
Owner
3183498272

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