| Trburks Behavioral Health Services, Llc | |
|
3341 Youree Dr Ste 20b Shreveport LA 71105-2149 | |
| (318) 553-1168 | |
| (318) 354-4811 |
| Full Name | Trburks Behavioral Health Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3341 Youree Dr Ste 20b, Shreveport, Louisiana |
| Authorized Official Name and Position | Traci Richards Burks (OWNER) |
| Authorized Official Contact | 3185531168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trburks Behavioral Health Services, Llc 3341 Youree Dr Ste 20b Shreveport LA 71105-2149 Ph: (318) 553-1168 | Trburks Behavioral Health Services, Llc 3341 Youree Dr Ste 20b Shreveport LA 71105-2149 Ph: (318) 553-1168 |
| NPI Number | 1801630561 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 04/20/2025 |
| Certification Date | 04/20/2025 |
| Medicare PECOS PAC ID | 5799214532 |
|---|---|
| Medicare Enrollment ID | O20250123003440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801630561 | NPI | - | NPPES |
| Provider Name | Traci Richards Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528171899 PECOS PAC ID: 7012310063 Enrollment ID: I20210728001330 |
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