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SHREVEPORT BEHAVIORAL HEALTH CLINIC
NPI 1811334964
Community/Behavioral Health in Shreveport, LA

Active since May 30, 2013
1310 N HEARNE AVE, SHREVEPORT, LA 71107(318) 676-5111 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shreveport Behavioral Health Clinic NPPES

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

SHREVEPORT BEHAVIORAL HEALTH CLINIC (NPI 1811334964) is a healthcare organization registered as a community/behavioral health in Shreveport, Louisiana and active in the NPI registry since May 2013. The organization lists Wendy Goad, Regional Administrator, as its authorized official.

NPPES Registry Identity

NPI1811334964
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHREVEPORT BEHAVIORAL HEALTH CLINIC
Location Address1310 N HEARNE AVEShreveport, LA 71107-6516
Mailing Address1310 N Hearne AveShreveport, LA 71107-6516
Phone(318) 676-5111
Organization SubpartNo
Authorized OfficialWendy GoadRegional Administrator · (318) 676-5111
Enumeration DateMay 30, 2013
✔ NPI 1811334964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1310 N HEARNE AVE, Shreveport, LA 71107
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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 Behavioral Health Clinic's NPI number?

The NPI number for Shreveport Behavioral Health Clinic is 1811334964. It was assigned to this organization in the NPPES registry on May 30, 2013.

Where is Shreveport Behavioral Health Clinic located?

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

What is Shreveport Behavioral Health Clinic's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Shreveport Behavioral Health Clinic was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.