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Street Outreach Solutions,llc

Clinic/Center, Mental Health (Including Community Mental Health Center) in Shreveport, LA. Organization (NPI-2).

NPI number1669918199
StatusActive
Last updated in NPPESJun 23, 2023

Details

NPI
1669918199
Entity type
Organization (NPI-2)
Legal business name
Street Outreach Solutions,llc
Organization subpart
No
Enumeration date
Jan 8, 2017
Certification date
Jun 23, 2023
Last updated
Jun 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • N/A (Former Legal Business Name)

Practice location

2715 Mackey Pl Ste 119
Shreveport, LA 71118-2527

Phone 318-393-5407

Mailing address

2715 Mackey Pl Ste 119
Shreveport, LA 71118-2527

Phone 318-771-7707

Authorized official

Mar'Dosha Peek
Chief Executive Officer
3187717707

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Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Shreveport, LA

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