Healthcare Provider Details

I. General information

NPI: 1275499899
Provider Name (Legal Business Name): FAMILY BEHAVIORAL CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 LAMY LN STE I
MONROE LA
71201-9200
US

IV. Provider business mailing address

PO BOX 4071
MONROE LA
71211-4071
US

V. Phone/Fax

Practice location:
  • Phone: 318-953-5944
  • Fax: 318-716-3252
Mailing address:
  • Phone: 318-953-5944
  • Fax: 318-716-3252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHAUNTEE L SLACK
Title or Position: CEO/OWNER
Credential: LPC-S
Phone: 318-953-5944