Restoration Crisis Center Therapeutic Home

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

16331 Issued in LA

Legal business name

RESTORATION CRISIS CENTER THERAPEUTIC HOME

Doing business as

Restoration Crisis Center Therapeutic Home

Practice address

6808 Jefferson Paige Rd
Shreveport, LA 71119-3302

Phone

(318) 347-1963

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Lisa Sweeney

Title

Executive Director

Phone

(318) 525-9000

Specialties & licenses 1

Addresses

Other names 1

• Restoration Crisis Center Therapeutic Home Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antwan Raheem Butler, LCSW-BACS

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1528461480
  NPD (past)

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1558857888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 JEFFERSON PAIGE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711193302",
            "telephone_number": "318-525-9000",
            "fax_number": "318-525-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 JEFFERSON PAIGE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711193302",
            "telephone_number": "318-347-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION CRISIS CENTER THERAPEUTIC HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-525-9000"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "LA",
            "license": "16331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Crisis Center Therapeutic Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Resilience Concierge Physical Therapy
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• Jack S Resneck, MD
• Respira Medical LP
• Restoration Dental Group LLC
• Resurgentmd, Inc.
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• Revive Respiratory and DME LLC
• Randi Reyes

• Emotionally Disturbed Childrens' Residential Treatment Facility in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.