Shreveport Mental Health Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5084 Issued in LA

Legal business name

SHREVEPORT MENTAL HEALTH CENTER

Practice address

1310 N Hearne Ave
Shreveport, LA 71107-6516

Phone

(318) 676-5111

Fax

(318) 676-5077

NPI assigned

Feb 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Mohatt, LCSW

Title

Social Worker IV

Phone

(318) 676-5111

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194864629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076516",
            "telephone_number": "318-676-5111",
            "fax_number": "318-676-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076516",
            "telephone_number": "318-676-5111",
            "fax_number": "318-676-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREVEPORT MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHATT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOCIAL WORKER IV",
        "authorized_official_telephone_number": "318-676-5111",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "5084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreveport Health and Wellness
• Shreveport Internal Medicine and Pediatrics LLC
• Shreveport Internal Medicine, LLC
• Shreveport Manor, LLC
• Shreveport Mental Health
• Shreveport Mental Health Center
• Shreveport Oxygen & Rental, LLC
• Shreveport Periodontal Specialists
• Shreveport Physical Therapy and Sports Medicine, Inc.
• Shreveport Pregnancy Center

• Community/Behavioral Health Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.