=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740734847
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HELP WITH BENEFIT PROGRAMS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2016
-----------------------------------------------------
Last Update Date | 08/08/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3939 LAKESHORE DR SUITE #2
-----------------------------------------------------
City | SHREVEPORT
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71109-1925
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-560-5817
-----------------------------------------------------
Fax | 877-261-2707
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3939 LAKESHORE DR SUITE #2
-----------------------------------------------------
City | SHREVEPORT
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71109-1925
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-426-7135
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MS. TANJA MONESSIE ROBINSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 318-560-5817
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------