Healthcare Provider Details

I. General information

NPI: 1467678482
Provider Name (Legal Business Name): METROPOLITAN CIRCLES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 LINWOOD AVE
SHREVEPORT LA
71103-4512
US

IV. Provider business mailing address

3510 LINWOOD AVE
SHREVEPORT LA
71103-4512
US

V. Phone/Fax

Practice location:
  • Phone: 318-636-4194
  • Fax: 318-636-4196
Mailing address:
  • Phone: 318-636-4194
  • Fax: 318-636-4196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number8267
License Number StateLA

VIII. Authorized Official

Name: CARLTON SMITH
Title or Position: CEO
Credential: LCSW
Phone: 318-636-4194