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MMO OF SHREVEPORT, LLC
NPI 1124067145
Clinic/Center - Mental Health (Including Community Mental Health Center) in Shreveport, LA

Active since June 05, 2006
3341 YOUREE DR, SUITE 102, SHREVEPORT, LA 71105(318) 688-6228(318) 688-6466 Get Directions Write a Review

NPPES record last updated: October 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mmo Of Shreveport, Llc NPPES

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

MMO OF SHREVEPORT, LLC (NPI 1124067145), doing business as Antares Behavioral Health, Llc, is a healthcare organization registered as a mental health (including community mental health center) in Shreveport, Louisiana and active in the NPI registry since June 2006. The organization lists Robert L Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124067145
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMMO OF SHREVEPORT, LLC
Location Address3341 YOUREE DR, SUITE 102Shreveport, LA 71105-2149
Mailing Address728 North BlvdBaton Rouge, LA 70802-5724 · (225) 293-6774 · Fax (225) 291-9299
Phone(318) 688-6228
Fax(318) 688-6466
Organization SubpartNo
Authorized OfficialRobert L MillerCeo · (225) 293-6774
Enumeration DateJune 5, 2006
Last NPPES UpdateOctober 3, 2008
✔ NPI 1124067145 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
3341 YOUREE DR, Shreveport, LA 71105
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Other Names 1

Former Legal Business NameAntares Behavioral Health, Llc

Other Identifiers 1

Medicare ID-Type Unspecified194693LA

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.

ANNIE HOLMES
Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 219-4167
ANIKA C SIMMONS
Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 621-0910
LINDA SUE JONES
Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 200-7209
TANISHA BULLARD
Counselor
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 219-4364
KHAIRAH ALI-ALLEN
Counselor (Mental Health)
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 219-4167
LAMONICA BROWN
Behavior Analyst
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 401-5925
DESTINY JACKSON M.A., PLPC, PLMFT
Counselor (Mental Health)
3341 YOUREE DR, 101
SHREVEPORT, LA 71105
Caddo Parish (318) 219-4171
KATE HARRIS
Peer Specialist
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 219-4167

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 Mmo Of Shreveport, LLC's NPI number?

The NPI number for Mmo Of Shreveport, LLC is 1124067145. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider was formerly known as Antares Behavioral Health, LLC.

Where is Mmo Of Shreveport, LLC located?

Mmo Of Shreveport, LLC is located at 3341 Youree Dr Suite 102, Shreveport, LA 71105. The listed phone number is (318) 688-6228.

What is Mmo Of Shreveport, 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 Mmo Of Shreveport, LLC was last updated on October 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.