Organization Active NPI

Shreveport Mental Health Center

  • Community/Behavioral Health Agency
  • Shreveport, LA
National Provider Identifier
1801062054
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
79957 Issued in LA
Legal business name
SHREVEPORT MENTAL HEALTH CENTER
Practice address
1310 N Hearne Ave
Shreveport, LA 71107-6516
Phone
(318) 676-5135
NPI assigned
May 7, 2008
Organization subpart
Yes
Parent organization
DEPT HEALTH AND HOSPITALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Ms. Cleona Denice Robinson, RN
Title
Registered Nurse3
Phone
(318) 676-5135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 79957 LA Primary

Addresses

Primary practice location

1310 N Hearne Ave
Shreveport, LA 71107-6516

Mailing address

1310 N Hearne Ave
Shreveport, LA 71107-6516
Phone (318) 676-5135

National Provider Directory

National Provider Directory
Tax ID family
Child Adolescent Mental31 organizations share this tax ID, including this one
Part of
Child Adolescent Mental

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1801062054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076516",
            "telephone_number": "318-676-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076516",
            "telephone_number": "318-676-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREVEPORT MENTAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPT HEALTH AND HOSPITALS",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CLEONA",
        "authorized_official_middle_name": "DENICE",
        "authorized_official_title_or_position": "REGISTERED NURSE3",
        "authorized_official_telephone_number": "318-676-5135",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "79957",
            "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 May 7, 2008; 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.