Organization Active NPI

Westwood Mental Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
National Provider Identifier
1578664298
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WESTWOOD MENTAL HEALTH LLC
Practice address
1 Westwood Cir
Shreveport, LA 71109-6246
Phone
(318) 473-0863
Fax
(318) 473-9889
NPI assigned
Sep 26, 2006
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Renessa L Fowlkes
Title
Billing Supervisor
Phone
(318) 473-0863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1 Westwood Cir
Shreveport, LA 71109-6246

Mailing address

3700 Bayou Rapides Rd
Alexandria, LA 71303-3601
Phone (318) 473-0863

Other identifiers 1

IdentifierTypeStateIssuer
1900G8867ZOtherLABCBS

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1578664298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BAYOU RAPIDES RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033601",
            "telephone_number": "318-473-0863",
            "fax_number": "318-473-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTWOOD CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711096246",
            "telephone_number": "318-473-0863",
            "fax_number": "318-473-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWOOD MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "FOWLKES",
        "authorized_official_first_name": "RENESSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "318-473-0863"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1900G8867Z",
            "state": "LA"
        }
    ],
    "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 Oct 7, 2009; 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.