OrganizationActive
Shreveport Mental Health
NPI 1184890337 · Mental Health Counselor · Shreveport, LA
Provider details
- NPI number
- 1184890337
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Parent organization
- State of Louisiana
- Organization subpart
- Yes
- Authorized official
- Robena Petterway, Mhc Manager 4(318) 676-5111
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1310 N Hearne Ave
Shreveport, LA 71107-6516
Phone: (318) 676-5111
Fax: (318) 676-5077
Street-level locationGet directions
Mailing address
1310 N Hearne Ave
Shreveport, LA 71107-6516
Registry dates
- Enumerated
- 2008-05-07
- Last updated
- 2008-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.