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ARK-LA-TEX MENTAL HEALTH, LLC

Organization (NPI-2) Active

Nurse Practitioner

Provider Information

NPI Number
1265327415
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
8660 FERN AVE STE 120, SHREVEPORT, LA, 711055657
Phone
(318) 416-9649
Fax
(318) 416-9646

Specialties & Taxonomies

Nurse Practitioner Primary

All Addresses

MAILING

PO BOX 837

HOWE, TX, 754590837

(903) 487-2248

LOCATION

8660 FERN AVE STE 120

SHREVEPORT, LA, 711055657

(318) 416-9649