NPI 1013932904

Phoenix Health Services, LLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Shreveport, LA

Practice location

Address: 2021 Line Ave, Shreveport, LA 71104-2124
Phone: (318) 221-0661
Fax: (318) 221-0662
Mailing address: 8921 Mansfield Rd, Shreveport, LA 71118-2144

Authorised official

Name: Suresh K Donepudi
Title: Owner
Phone: (318) 688-5416

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Louisiana →

Registry record

NPI: 1013932904
Entity type: Organization
NPI issued: 13 Jul 2006
Record last updated: 8 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.