Magnolia Community Mental Health Facility Inc
Magnolia Community Mental Health Facility Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Shreveport, Louisiana. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2005 Creswell AveShreveport, LA 71104-2201
Phone: (318) 678-0907
Fax: (318) 678-9975
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
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1982652301 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dewarrent Brantley — Ceo/ President · (318) 678-0907 |
| NPI enumerated | May 5, 2006 |
| Last updated in NPPES | February 14, 2008 |
| Mailing address | 2005 Creswell Ave, P.O.Box 4908 Shreveport La.71134, Shreveport, LA 71104-2201 |
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