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WILLIAM ROSE LAC
NPI 1306316088
Counselor - Addiction (Substance Use Disorder) in Shreveport, LA

Active since November 26, 2018
2000 FAIRFIELD AVENUE, SHREVEPORT, LA 71104(318) 222-8511(318) 222-3273 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Rose Lac NPPES

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

WILLIAM ROSE LAC (NPI 1306316088) is an individual addiction (substance use disorder) provider in Shreveport, Louisiana, licensed in Louisiana (595) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1306316088
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameWILLIAM ROSECredential: LAC
Location Address2000 FAIRFIELD AVENUEShreveport, LA 71104
Mailing Address2000 Fairfield AvenueShreveport, LA 71104 · (318) 222-8511 · Fax (318) 222-3273
Phone(318) 222-8511
Fax(318) 222-3273
Sole ProprietorYes
Enumeration DateNovember 26, 2018
✔ NPI 1306316088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in LA · 595
2000 FAIRFIELD AVENUE, Shreveport, LA 71104
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
Substance Abuse Rehabilitation Facility
2000 FAIRFIELD AVENUE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511

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 William Rose's NPI number?

The NPI number for William Rose is 1306316088. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is William Rose located?

William Rose practices at 2000 Fairfield Avenue, Shreveport, LA 71104. The listed phone number is (318) 222-8511.

What is William Rose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for William Rose was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.