| Olivia Bury Llc | |
|
905 Captain Shreve Dr Shreveport LA 71105-2806 | |
| (918) 344-9057 | |
| Not Available |
| Full Name | Olivia Bury Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 905 Captain Shreve Dr, Shreveport, Louisiana |
| Authorized Official Name and Position | Olivia Mina Bury (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9183449057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Bury Llc 905 Captain Shreve Dr Shreveport LA 71105-2806 Ph: (918) 344-9057 | Olivia Bury Llc 905 Captain Shreve Dr Shreveport LA 71105-2806 Ph: (918) 344-9057 |
| NPI Number | 1790621902 |
|---|---|
| Provider Enumeration Date | 04/28/2026 |
| Last Update Date | 04/28/2026 |
| Certification Date | 04/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790621902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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