Healthcare Provider Details

I. General information

NPI: 1154247302
Provider Name (Legal Business Name): FRANCES SUTTON
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2522 E 70TH ST
SHREVEPORT LA
71105-4002
US

IV. Provider business mailing address

2522 E 70TH ST
SHREVEPORT LA
71105-4002
US

V. Phone/Fax

Practice location:
  • Phone: 318-795-3388
  • Fax: 318-795-3399
Mailing address:
  • Phone: 318-795-3388
  • Fax: 318-795-3399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: