AUTUMN CREEK HEALTH SOLUTIONS INC – NPI #1982058756
Clinic/Center

AUTUMN CREEK HEALTH SOLUTIONS INC is an AHC clinic located in SHREVEPORT, LA. NPPES has assigned the NPI number 1982058756 to AUTUMN CREEK HEALTH SOLUTIONS INC on April 19, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 3 years ago on Jul 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUTUMN CREEK HEALTH SOLUTIONS INC below.

NPI Profile for
AUTUMN CREEK HEALTH SOLUTIONS INC

NPI Number
1982058756
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AUTUMN CREEK HEALTH SOLUTIONS INC
Primary location
2924 KNIGHT ST
SUITE 426
SHREVEPORT, LA 71105-2415
Phone: (318) 754-3560 Fax: (318) 779-0439
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHARON TERRELL
OWNER/CEO
Phone: (318) 453-3895
Updated
Certification Date
Jul 10, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
251S00000X
- Community/Behavioral Health		 LA BH0011664
101YP2500X
- Counselor / Professional
101YM0800X
- Counselor / Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.