Healthcare Provider Details

I. General information

NPI: 1922459643
Provider Name (Legal Business Name): ARLENE HULING LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 EGAN STREET
SHREVEPORT LA
71101
US

IV. Provider business mailing address

2219 CLAIBORNE AVE
SHREVEPORT LA
71103-4301
US

V. Phone/Fax

Practice location:
  • Phone: 318-424-8735
  • Fax: 318-424-8739
Mailing address:
  • Phone: 318-302-0569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number10856
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: