Foundation Recovery Center
Foundation Recovery Center is an Addiction (Substance Use Disorder) Counselor in Shreveport, Louisiana. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 5
Practice location Address checks out
2419 Southern AveShreveport, LA 71104-2969
Phone: (318) 227-1475
Fax: (318) 227-1472
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Recovery Care Clinic/Center | Taxonomy 261QR0800X |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X |
Record details
| NPI number | 1649944117 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tara Dupree — Office Manager · (318) 716-9085 |
| NPI enumerated | August 6, 2021 |
| Last updated in NPPES | March 10, 2022 |
| Certification date | February 9, 2022 |
| Mailing address | 2419 Southern Ave, Shreveport, LA 71104-2969 |
Other providers in Shreveport
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Mrs. Shantae Meshelle Durden, CAC
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Emily Dwyer
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Martin James Dykes, LAC
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Dr. John Philip Epling, MD
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Lynda J Galloway, LAC
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Mr. Gregory H Gentry, LAC
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Sandra L Ginsburg
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