OrganizationActive
Mmo of Shreveport, LLC
NPI 1124067145 · Mental Health Clinic/Center (Including Community Mental Health Center) · Shreveport, LA
Provider details
- NPI number
- 1124067145
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Miller, Ceo(225) 293-6774
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3341 Youree Dr
Suite 102
Shreveport, LA 71105-2149
Phone: (318) 688-6228
Fax: (318) 688-6466
Street-level locationGet directions
Mailing address
728 North Blvd
Baton Rouge, LA 70802-5724
Other names (DBA / former)
- Former legal business name
- Antares Behavioral Health, LLC
Registry dates
- Enumerated
- 2006-06-05
- Last updated
- 2008-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.