NPI 1316665466

The Virginia House, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Shreveport, LA

Practice location

Address: 344 Boulevard St, Shreveport, LA 71104-2422
Phone: (318) 820-6941

Authorised official

Name: Cleveland Mouton
Title: President
Phone: (318) 820-6941

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Louisiana →

Emotionally Disturbed Childrens' Residential Treatment Facility

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Louisiana →

Registry record

NPI: 1316665466
Entity type: Organization
NPI issued: 16 Aug 2022
Record last updated: 25 Jan 2024

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.