MEDICARE: SINCERE CLIENT CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	HC0007512	LA
2	251S00000X	Community/Behavioral Health Agency	HC0007512	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730543869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINCERE CLIENT CARE

Provider Business Mailing Address
First Line	:	3321 YOUREE DR
Second Line	:	SUITE J
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-2123
Country	:	US
Telephone Number	:	318-564-6197
Fax Number	:	318-865-2312

Provider Business Practice Location Address
First Line	:	3321 YOUREE DR
Second Line	:	SUITE J
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-2123
Country	:	US
Telephone Number	:	318-564-6197
Fax Number	:	318-865-2312

Authorized Official
Title or Position	:	CEO
Name	:	ANDREA BAXTER
Credential	:
Telephone Number	:	318-564-6197

Provider Enumeration Date	:	04/05/2016
Last Update Date	:	04/05/2016

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Directions to “SINCERE CLIENT CARE ” Practice Location

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