MAGNOLIA COMMUNITY MENTAL HEALTH FACILITY INC.
NPI 1982652301
Clinic/Center - Mental Health (Including Community Mental Health Center) in Shreveport, LA

Active since May 05, 2006
2005 CRESWELL AVE, SHREVEPORT, LA 71104(318) 678-0907(318) 678-9975 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Magnolia Community Mental Health Facility Inc. NPPES

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

MAGNOLIA COMMUNITY MENTAL HEALTH FACILITY INC. (NPI 1982652301) is a healthcare organization registered as a mental health (including community mental health center) in Shreveport, Louisiana and active in the NPI registry since May 2006. The organization lists Dewarrent L. Brantley, Ceo/ President, as its authorized official.

NPPES Registry Identity

NPI1982652301
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMAGNOLIA COMMUNITY MENTAL HEALTH FACILITY INC.
Location Address2005 CRESWELL AVEShreveport, LA 71104-2201
Mailing Address2005 Creswell Ave, P.o.box 4908 Shreveport La.71134Shreveport, LA 71104-2201 · (318) 678-0907 · Fax (318) 678-9975
Fax(318) 678-9975
Organization SubpartNo
Authorized OfficialDewarrent L. BrantleyCeo/ President · (318) 678-0907
Enumeration DateMay 5, 2006
Last NPPES UpdateFebruary 14, 2008
NPI 1982652301 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
2005 CRESWELL AVE, Shreveport, LA 71104

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2005 CRESWELL AVE
SHREVEPORT, LA 71104
Clinic/Center (Multi-Specialty)
2005 CRESWELL AVE
SHREVEPORT, LA 71104
Non-emergency Medical Transport (VAN)
2005 CRESWELL AVE
SHREVEPORT, LA 71104
Pharmacy (Clinic Pharmacy)
2005 CRESWELL AVE
SHREVEPORT, LA 71104

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 Magnolia Community Mental Health Facility Inc.'s NPI number?

The NPI number for Magnolia Community Mental Health Facility Inc. is 1982652301. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Magnolia Community Mental Health Facility Inc. located?

Magnolia Community Mental Health Facility Inc. is located at 2005 Creswell Ave, Shreveport, LA 71104. The listed phone number is (318) 678-0907.

What is Magnolia Community Mental Health Facility Inc.'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 Magnolia Community Mental Health Facility Inc. was last updated on February 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.