Active NPI
Grace Behavioral Health Solutions
- Psychiatry Physician
- Shreveport, LA
National Provider Identifier
1558662338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD199987
- Legal business name
- GRACE BEHAVIORAL HEALTH SOLUTIONS
- Practice address
- 2924 Knight St
Suite 414
Shreveport, LA 71105-2415 - Phone
- (318) 861-7340
- Fax
- (318) 861-7390
- NPI assigned
- Nov 9, 2010
- 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
- Dr. Kimberly Dawn Law, M.D., M.P.H.
- Title
- Psychiatrist
- Phone
- (318) 453-4084
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD199987 | LA | Primary |
Addresses
Primary practice location
2924 Knight St
Suite 414
Shreveport, LA 71105-2415
Mailing address
2924 Knight St
Suite 414
Shreveport, LA 71105-2415
Phone (318) 861-7340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2924 Knight St
#414
Shreveport, LA 71105
404 Hearne Ave
Shreveport, LA 71103
Phone (318) 716-1369
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Shreveport, LA
- NPI 1427029438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504569600000",
"number": "1558662338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2924 KNIGHT ST",
"address_2": "SUITE 414",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052415",
"telephone_number": "318-861-7340",
"fax_number": "318-861-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 KNIGHT ST",
"address_2": "SUITE 414",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052415",
"telephone_number": "318-861-7340",
"fax_number": "318-861-7390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE BEHAVIORAL HEALTH SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2017-09-05",
"status": "A",
"authorized_official_last_name": "LAW",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "318-453-4084",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., M.P.H."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "MD199987",
"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 Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.