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SHREVEPORT MENTAL HEALTH
NPI 1184890337
Counselor - Mental Health in Shreveport, LA

Active since May 07, 2008
1310 N HEARNE AVE, SHREVEPORT, LA 71107(318) 676-5111(318) 676-5077 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shreveport Mental Health NPPES

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

SHREVEPORT MENTAL HEALTH (NPI 1184890337) is a healthcare organization registered as a mental health in Shreveport, Louisiana and active in the NPI registry since May 2008. The organization lists Robena Petterway, Mhc Manager 4, as its authorized official.

NPPES Registry Identity

NPI1184890337
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSHREVEPORT MENTAL HEALTH
Location Address1310 N HEARNE AVEShreveport, LA 71107-6516
Mailing Address1310 N Hearne AveShreveport, LA 71107-6516 · (318) 676-5111 · Fax (318) 676-5077
Phone(318) 676-5111
Fax(318) 676-5077
Organization SubpartYesParent: State Of Louisiana
Authorized OfficialRobena PetterwayMhc Manager 4 · (318) 676-5111
Enumeration DateMay 7, 2008
✔ NPI 1184890337 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
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

SHANNON ANN GOLDSMITH
Case Manager/Care Coordinator
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5328
JUANITA CARMELLA JONES FRALEY MA, NCC, LPC
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111
MR. LESLIE FRANK KIRKLAND P.D.
Pharmacist (Psychiatric)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5155
MS. LA DONNA RHNEE HAMBRICK GSW
Social Worker
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5135
SARA L RICE LPC
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111
DR. MICHAEL VITTORIO SUSANO M.D.
Psychiatry & Neurology (Psychiatry)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111
LAWRENCE E. WATSON
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5147
LISA HARRISON PENN CAC
Counselor (Addiction (Substance Use Disorder))
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111

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 Shreveport Mental Health's NPI number?

The NPI number for Shreveport Mental Health is 1184890337. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is Shreveport Mental Health located?

Shreveport Mental Health is located at 1310 N Hearne Ave, Shreveport, LA 71107. The listed phone number is (318) 676-5111.

What is Shreveport Mental Health's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shreveport Mental Health was last updated on May 7, 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.