Active NPI
Behavioral Medicine and Addictive Disorders, Houston
- Community/Behavioral Health Agency
- Shreveport, LA
National Provider Identifier
1194186460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BEHAVIORAL MEDICINE AND ADDICTIVE DISORDERS, HOUSTON
- Practice address
- 195 Colonel Ap Kouns Dr
Shreveport, LA 71115-2977 - Phone
- (318) 884-4205
- NPI assigned
- Mar 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra L Williams, LPC-S
- Title
- Clinical Director
- Phone
- (318) 884-4205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
195 Colonel Ap Kouns Dr
Shreveport, LA 71115-2977
Mailing address
195 Colonel Ap Kouns Dr
Shreveport, LA 71115-2977
Phone (318) 884-4205
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458000000000",
"number": "1194186460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 COLONEL AP KOUNS DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152977",
"telephone_number": "318-884-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 COLONEL AP KOUNS DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152977",
"telephone_number": "318-884-4205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL MEDICINE AND ADDICTIVE DISORDERS, HOUSTON",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "318-884-4205",
"authorized_official_credential": "LPC-S"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.