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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MMO OF SHREVEPORT, LLC

Active Organization

MMO OF SHREVEPORT, LLC is a Mental Health Clinic organization located in SHREVEPORT, Louisiana. NPI 1124067145 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · SHREVEPORT, LA

Registration Details

NPI Number
1124067145
Provider Type
Organization
NPI Issued
Jun 5, 2006 (20.172426514438 yrs)
Last Updated
Oct 3, 2008

Practice Information

Address
3341 YOUREE DR
SUITE 102
SHREVEPORT, LA, 711052149
Browse LA providers · Browse ZIP 71105
Phone
3186886228
Fax
3186886466
Primary Specialty
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.