Street Outreach Solutions,LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STREET OUTREACH SOLUTIONS,LLC

Practice address

2715 Mackey PL Ste 119
Shreveport, LA 71118-2527

Phone

(318) 393-5407

NPI assigned

Jan 8, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Mar'Dosha PeekNPI 1144690363

Title

Chief Executive Officer

Phone

(318) 771-7707

Specialties & licenses 1

Addresses

Other names 1

• n/a Former legal business name

Locations

Practitioners 1

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

• Mardosha Peek

  • Mental Health Counselor
  • Bossier City, LA
  • NPI 1144690363
  NPD Authorized official

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1669918199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 MACKEY PL STE 119",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182527",
            "telephone_number": "318-771-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 MACKEY PL STE 119",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182527",
            "telephone_number": "318-393-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREET OUTREACH SOLUTIONS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "PEEK",
        "authorized_official_first_name": "MAR'DOSHA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "318-771-7707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sharon Denise Strange, PTA
• Tierney Charda Strange
• Randi Alyne Strasky
• Michael D Stratton, M.D.
• Steven Neil Strecker, NP
• Jeanne Street, PHD
• Patricia Lynne Strickland, NP
• Niesha Stricklin
• Kristy Stringfellow
• Steven Niel Stringfellow, DDS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.