Corey Glen White
Corey Glen White is a Mental Health Clinic/Center (Including Community Mental Health Center) in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
404 Hearne AveShreveport, LA 71103-2022
Phone: (318) 716-1369
Fax: (318) 675-0120
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Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1891557203 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2024 |
| Last updated in NPPES | January 30, 2024 |
| Certification date | January 30, 2024 |
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