MAGNOLIA MENTAL HEALTH LLC

SHREVEPORT, LA
NPI1851891865
Entity TypeOrganization
Authorized ContactSHANELL TAYLOR
Owner
318-791-7872
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: LA  2203783795)
Enumeration Date2018-02-15
Last Update Date2018-03-29
Business Address
MAGNOLIA MENTAL HEALTH LLC
7629 PINES RD
SHREVEPORT, LA 71129-3905
Phone number: 318-626-5991
Mailing Address
MAGNOLIA MENTAL HEALTH LLC
7629 PINES RD
SHREVEPORT, LA 71129-3905
Phone number:
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