The Therapeutic & Restorative Village

Clinical Social Worker · Shreveport, LA

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At a glance

820 Jordan St Ste 315C, Shreveport, LA 71101-4512

NPPES record updated Nov 29, 2019. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

820 Jordan St Ste 315C
Shreveport, LA 71101-4512
Professional details: NPI, taxonomy & registry record
NPI1619537651
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Jun 20, 2019
Record updated
Nov 29, 2019
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

820 Jordan St Ste 315C
Shreveport, LA 71101-4512
Phone
(318) 607-7839
Mailing address
9137 MANSFIELD RD APT 164

SHREVEPORT, LA 711183145
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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