STREET OUTREACH SOLUTIONS,LLC
NPI 1669918199
Clinic/Center - Mental Health (Including Community Mental Health Center) in Shreveport, LA

NPI Status: Active since January 08, 2017

Contact Information

2715 MACKEY PL STE 119
SHREVEPORT, LA
ZIP 71118
Phone: (318) 393-5407

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About STREET OUTREACH SOLUTIONS,LLC

This page provides the complete NPI Profile along with additional information for Street Outreach Solutions,llc, a provider established in Shreveport, Louisiana operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1669918199 assigned on January 2017. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's former legal business name is N/a. The authorized official of this NPI record is Mrs. Mar'dosha Peek (Chief Executive Officer)

NPI
1669918199
Provider Legal Name
STREET OUTREACH SOLUTIONS,LLC
Other Organization Name
N/A
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
2715 MACKEY PL STE 119 SHREVEPORT, LA 71118
Location Phone
(318) 393-5407
Mailing Address
2715 MACKEY PL STE 119 SHREVEPORT, LA 71118
Mailing Phone
(318) 771-7707
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2017
Last Update Date
06-23-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MAR'DOSHA PEEK

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(318) 771-7707

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669918199
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2612918116118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 8 + 1 + 1 + 6 + 1 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1669918199 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679083786 MARTINEZ JOHNSON MHS
Individual
Counselor (Mental Health)2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707
1720598410 SHAMOINDRA MANNING
Individual
Counselor (Mental Health)2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707
1952812885 CANDICE COOK
Individual
Counselor (Mental Health)2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707
1528572401 NATALIE N PRICE
Individual
Counselor (Mental Health)2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707
1912484767 TRAMECEYA DELANEY
Individual
Counselor (Mental Health)2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707
1326529447 TERRIKA JOHNSON-DYER
Individual
Counselor (Mental Health)2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707
1750850749 LATOYA LEWIS
Individual
Case Manager/Care Coordinator2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707
1912476904 CHASITY O'NEAL
Individual
Case Manager/Care Coordinator2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707
1447729405 AQUNINA NUNSANT
Individual
Case Manager/Care Coordinator2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707
1922578376 TREMOND SMITH
Individual
Case Manager/Care Coordinator2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707
1720610306 SPENCER COOK
Individual
Case Manager/Care Coordinator2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 560-8715
1477156727 ALEXIS LANDS
Individual
Counselor (Mental Health)2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(702) 771-3124
1235703885 D'SHANTI LOCKETT-BRADLEY
Individual
Case Manager/Care Coordinator2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707
1841920451 SHASTIDY B HUGHES
Individual
Case Manager/Care Coordinator2715 MACKEY PL STE 119
SHREVEPORT, LA 71118
(318) 771-7707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669918199, enumerated in the NPI registry as an "organization" on January 08, 2017

The provider is located at 2715 Mackey Pl Ste 119 Shreveport, La 71118 and the phone number is (318) 393-5407

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on January 08, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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