Provider Demographics
NPI:1457773657
Name:COMPREHENSIVE ASSESSMENTS, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE ASSESSMENTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:STAATS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:318-834-3925
Mailing Address - Street 1:3010 KNIGHT ST
Mailing Address - Street 2:SUITE 125
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-2553
Mailing Address - Country:US
Mailing Address - Phone:318-861-0194
Mailing Address - Fax:318-861-0284
Practice Address - Street 1:3010 KNIGHT ST
Practice Address - Street 2:SUITE 125
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2553
Practice Address - Country:US
Practice Address - Phone:318-861-0194
Practice Address - Fax:318-861-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA254261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA57979Medicare PIN