Mmo of Shreveport, LLC
Mmo of Shreveport, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.
- Licensed in
- LA
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3341 Youree Dr Ste 102Shreveport, LA 71105-2149
Phone: (318) 688-6228
Fax: (318) 688-6466
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 (LA) |
|---|
Record details
| NPI number | 1124067145 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Miller — Ceo · (225) 293-6774 |
| Other names | Antares Behavioral Health, Llc |
| NPI enumerated | June 5, 2006 |
| Last updated in NPPES | October 3, 2008 |
| Mailing address | 728 North Blvd, Baton Rouge, LA 70802-5724 |
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