| Red River Therapeutic Soulutions | |
|
7000 Red Fox Trl Apt 237 Shreveport LA 71129-3546 | |
| (318) 423-7963 | |
| Not Available |
| Full Name | Red River Therapeutic Soulutions |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7000 Red Fox Trl Apt 237, Shreveport, Louisiana |
| Authorized Official Name and Position | Vonetta Faye Cook (MENTAL HEALTH PROFESSIONSAL) |
| Authorized Official Contact | 3184027789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red River Therapeutic Soulutions 7000 Red Fox Trl Apt 237 Shreveport LA 71129-3546 Ph: (318) 423-7963 | Red River Therapeutic Soulutions 7000 Red Fox Trl Apt 237 Shreveport LA 71129-3546 Ph: (318) 423-7963 |
| NPI Number | 1558804740 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 11/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558804740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 251S00000X (Louisiana) | Primary |
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