Organization · NPI-2

Adolescent Behavior Crisis Center, LLC

Community/Behavioral Health · Shreveport, LA

NPI number1780558965

StatusActive

Last updated in NPPESFeb 11, 2026

Details

NPI: 1780558965
Entity type: Organization (NPI-2)
Legal business name: Adolescent Behavior Crisis Center, LLC
Organization subpart: No
Enumeration date: Oct 1, 2025
Certification date: Feb 11, 2026
Last updated: Feb 11, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	–	–

Practice location

2061 Silver Point Dr
Shreveport, LA 71106-7753

Phone 318-572-7840

Mailing address

2061 Silver Point Dr
Shreveport, LA 71106-7753

Authorized official

Laquina Dove-Cummings
Owner
3185727840

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