| Wk Behavioral Health Services | |
|
2510 Bert Kouns Industrial Loop Shreveport LA 71118-3119 | |
| (318) 212-5200 | |
| (318) 212-5595 |
| Full Name | Wk Behavioral Health Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2510 Bert Kouns Industrial Loop, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182124232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Behavioral Health Services 1202 Louisiana Ave Shreveport LA 71101-3910 Ph: (318) 212-8574 | Wk Behavioral Health Services 2510 Bert Kouns Industrial Loop Shreveport LA 71118-3119 Ph: (318) 212-5200 |
| NPI Number | 1295981363 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 06/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295981363 | NPI | - | NPPES |
| 1189197 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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