DARA BOURN SSCOMH
NPI 1154461564
Counselor - Mental Health in Shreveport, LA
Active since February 07, 2007
About Dara Bourn Sscomh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARA BOURN SSCOMH (NPI 1154461564) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1154461564
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDARA BOURNCredential: SSCOMH
Location Address1310 N HEARNE AVEShreveport, LA 71107-6516
Mailing Address6201 Bert Kouns Industrial Loop, Lot 870Shreveport, LA 71129-5056 · (318) 688-6441
Phone(318) 676-5599
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154461564 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1310 N HEARNE AVE, Shreveport, LA 71107
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154461564, enumerated as an "individual" on February 07, 2007.
The provider is located at 1310 N HEARNE AVE SHREVEPORT, LA 71107 and the phone number is (318) 676-5599.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
