NPIMap

Organization Active NPI

Red River Therapeutic Soulutions

  • Adolescent and Children Mental Health Clinic/Center
  • Shreveport, LA
National Provider Identifier
1558804740
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
251S00000X Issued in LA
Legal business name
RED RIVER THERAPEUTIC SOULUTIONS
Practice address
7000 Red Fox TRL Apt 237
Shreveport, LA 71129-3546
Phone
(318) 423-7963
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Mrs. Vonetta Faye Cook, BS
Title
Mental Health Professionsal
Phone
(318) 402-7789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 251S00000X LA Primary

Addresses

Primary practice location

7000 Red Fox TRL Apt 237
Shreveport, LA 71129-3546

Mailing address

7000 Red Fox TRL Apt 237
Shreveport, LA 71129-3546
Phone (318) 423-7963

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1558804740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 RED FOX TRL APT 237",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293546",
            "telephone_number": "318-423-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 RED FOX TRL APT 237",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293546",
            "telephone_number": "318-423-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER THERAPEUTIC SOULUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "VONETTA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "MENTAL HEALTH PROFESSIONSAL",
        "authorized_official_telephone_number": "318-402-7789",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "LA",
            "license": "251S00000X",
            "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 Nov 21, 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.

Verify at the official NPI Registry.