Healthcare Provider Details

I. General information

NPI: 1164354007
Provider Name (Legal Business Name): ALAINA OWENS SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 OLD MINDEN RD STE 21
BOSSIER CITY LA
71111-4846
US

IV. Provider business mailing address

1701 OLD MINDEN RD STE 21
BOSSIER CITY LA
71111-4846
US

V. Phone/Fax

Practice location:
  • Phone: 318-408-1664
  • Fax: 318-588-7813
Mailing address:
  • Phone: 318-408-1664
  • Fax: 318-588-7813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number10113
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: