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PHOENIX HEALTH SERVICES, LLC
NPI 1013932904
Clinic/Center - Mental Health (Including Community Mental Health Center) in Shreveport, LA

Active since July 13, 2006
2021 LINE AVE, SHREVEPORT, LA 71104(318) 221-0661(318) 221-0662 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Health Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX HEALTH SERVICES, LLC (NPI 1013932904) is a healthcare organization registered as a mental health (including community mental health center) in Shreveport, Louisiana and active in the NPI registry since July 2006. The organization lists Suresh K Donepudi, Owner, as its authorized official.

NPPES Registry Identity

NPI1013932904
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePHOENIX HEALTH SERVICES, LLC
Location Address2021 LINE AVEShreveport, LA 71104-2124
Mailing Address8921 Mansfield RdShreveport, LA 71118-2144 · (318) 688-5416 · Fax (318) 688-5823
Phone(318) 221-0661
Fax(318) 221-0662
Organization SubpartNo
Authorized OfficialSuresh K DonepudiOwner · (318) 688-5416
Enumeration DateJuly 13, 2006
Last NPPES UpdateAugust 8, 2008
✔ NPI 1013932904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2021 LINE AVE, Shreveport, LA 71104
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Health Services, LLC's NPI number?

The NPI number for Phoenix Health Services, LLC is 1013932904. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Phoenix Health Services, LLC located?

Phoenix Health Services, LLC is located at 2021 Line Ave, Shreveport, LA 71104. The listed phone number is (318) 221-0661.

What is Phoenix Health Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Phoenix Health Services, LLC was last updated on August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.