Provider Demographics
NPI:1366671976
Name:BETTER HEARING SYSTEMS OF NORTHWEST LOUISIANA,LLC
Entity Type:Organization
Organization Name:BETTER HEARING SYSTEMS OF NORTHWEST LOUISIANA,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:318-747-9191
Mailing Address - Street 1:1000 CHINABERRY DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-2442
Mailing Address - Country:US
Mailing Address - Phone:318-747-9191
Mailing Address - Fax:318-747-6421
Practice Address - Street 1:1000 CHINABERRY DR
Practice Address - Street 2:SUITE 103
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-2442
Practice Address - Country:US
Practice Address - Phone:318-747-9191
Practice Address - Fax:318-747-6421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-06
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5157237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1508985Medicaid
LA1508985Medicaid