NPI 1497587802

William Pierre Davis

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Shreveport, LA

Practice location

Address: 2657 Vivian St, Shreveport, LA 71108-2742
Phone: (318) 658-0227
Mailing address: 100 Carondelet Dr, Shreveport, LA 71109-3917

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Registry record

NPI: 1497587802
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2024
Record last updated: 14 Aug 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.