Provider Demographics
NPI:1689151953
Name:FRANCE, LOUISE B (BACHELOR OF SCIENCE)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:B
Last Name:FRANCE
Suffix:
Gender:F
Credentials:BACHELOR OF SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 KNIGHT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-2525
Mailing Address - Country:US
Mailing Address - Phone:318-221-8244
Mailing Address - Fax:318-861-2162
Practice Address - Street 1:3007 KNIGHT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2525
Practice Address - Country:US
Practice Address - Phone:318-221-8244
Practice Address - Fax:318-861-2162
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1457990Medicaid