Provider Demographics
NPI:1578204244
Name:ASSURED CASE MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:ASSURED CASE MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-572-3354
Mailing Address - Street 1:PO BOX 8421
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71148-8421
Mailing Address - Country:US
Mailing Address - Phone:318-626-7143
Mailing Address - Fax:318-210-0358
Practice Address - Street 1:2912 VALLEY VIEW DR STE F
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71108-4934
Practice Address - Country:US
Practice Address - Phone:318-626-7143
Practice Address - Fax:318-210-0358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency