Healthcare Provider Details

I. General information

NPI: 1881661098
Provider Name (Legal Business Name): AAA CLINICS AMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8921 MANSFIELD RD
SHREVEPORT LA
71118-2144
US

IV. Provider business mailing address

8921 MANSFIELD RD
SHREVEPORT LA
71118-2144
US

V. Phone/Fax

Practice location:
  • Phone: 318-688-5416
  • Fax: 318-688-5416
Mailing address:
  • Phone: 318-688-5416
  • Fax: 318-688-5823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMY COPELAND BAILEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 318-688-5416