BRENTWOOD OUTPATIENT CLINIC - NPI 1063644383 - Clinic/Center in Shreveport, LA

Q: What is Brentwood Acquisition Shreveport, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

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About Brentwood Outpatient Clinic NPPES

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

BRENTWOOD OUTPATIENT CLINIC (NPI 1063644383) is a healthcare organization registered as a medical specialty in Shreveport, Louisiana and active in the NPI registry since August 2009. The organization lists Jodi Lynn Burns, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063644383

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameBRENTWOOD ACQUISITION SHREVEPORT, INC

Location Address1002 HIGHLAND AVE, SUITE 200Shreveport, LA 71101-4143

Mailing Address1002 Highland Ave, Suite 200Shreveport, LA 71101-4143 · (318) 222-6226 · Fax (318) 222-6227

Phone(318) 222-6226

Fax(318) 222-6227

Organization SubpartNo

Authorized OfficialJodi Lynn BurnsOffice Manager · (318) 222-6260

Enumeration DateAugust 20, 2009

✔ NPI 1063644383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1002 HIGHLAND AVE, Shreveport, LA 71101

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Other Names 1

Doing Business AsBrentwood Outpatient Clinic

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GUY EMILIO BRANNON M.D.

Psychiatry & Neurology (Psychiatry)

1002 HIGHLAND AVE
SHREVEPORT, LA 71101

Caddo Parish (318) 222-6226

LAURA C MCFERRIN, BCSW, LCSW

Social Worker (Clinical)

1002 HIGHLAND AVE, SUITE 200
SHREVEPORT, LA 71101

Caddo Parish (318) 222-6226

MS. ARIEL CHRISTINA MOORE LPC-S

Counselor (Professional)

1002 HIGHLAND AVE
SHREVEPORT, LA 71101

Caddo Parish (318) 222-6226

DR. LARRIE ANN WILLIAMSON M.D.

Psychiatry & Neurology (Psychiatry)

1002 HIGHLAND AVE, SUITE 201
SHREVEPORT, LA 71101

Caddo Parish (318) 675-1300

MR. CARLTON CASEY BAKER LPC

Counselor

1002 HIGHLAND AVE, STE 300
SHREVEPORT, LA 71101

Caddo Parish (318) 222-6226

WENDY GENORA BOWLIN L.P.C.

Counselor (Mental Health)

1002 HIGHLAND AVE, STE. 101
SHREVEPORT, LA 71101

Caddo Parish (318) 294-0619

KATHLEEN M RHODES LMFT, LPC

Marriage & Family Therapist

1002 HIGHLAND AVE, SUITE 303
SHREVEPORT, LA 71101

Caddo Parish (318) 424-5008

LAUREN A LUSK MD LLC

Psychiatry & Neurology (Psychiatry)

1002 HIGHLAND AVE, SUITE 300
SHREVEPORT, LA 71101

Caddo Parish (318) 678-7500

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 Brentwood Acquisition Shreveport, Inc's NPI number?

The NPI number for Brentwood Acquisition Shreveport, Inc is 1063644383. It was assigned to this organization in the NPPES registry on August 20, 2009. The provider is doing business as Brentwood Outpatient Clinic.

Where is Brentwood Acquisition Shreveport, Inc located?

Brentwood Acquisition Shreveport, Inc is located at 1002 Highland Ave Suite 200, Shreveport, LA 71101. The listed phone number is (318) 222-6226.

What is Brentwood Acquisition Shreveport, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Brentwood Acquisition Shreveport, Inc was last updated on August 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.