Organization · NPI-2

A Sound Mind Mental Health Consultants, LLC

Clinic/Center, Adult Mental Health · Shreveport, LA

NPI number1790161685
StatusActive
Last updated in NPPESAug 3, 2015

Details

NPI
1790161685
Entity type
Organization (NPI-2)
Legal business name
A Sound Mind Mental Health Consultants, LLC
Organization subpart
No
Enumeration date
Aug 3, 2015
Last updated
Aug 3, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental HealthRN038372-AP01083LAYes

Practice location

2924 Knight St
Suite 414
Shreveport, LA 71105-2415

Phone 318-861-7340 · Fax 318-861-7390

Mailing address

4152 Calderwood Dr
Shreveport, LA 71119-7622

Phone 318-347-8566

Authorized official

Hazel Taylor Smith
Nurse Practitioner
3183478566

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