Provider Demographics
NPI:1730543869
Name:SINCERE CLIENT CARE
Entity type:Organization
Organization Name:SINCERE CLIENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-564-6197
Mailing Address - Street 1:3321 YOUREE DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-2123
Mailing Address - Country:US
Mailing Address - Phone:318-564-6197
Mailing Address - Fax:318-865-2312
Practice Address - Street 1:3321 YOUREE DR
Practice Address - Street 2:SUITE J
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2123
Practice Address - Country:US
Practice Address - Phone:318-564-6197
Practice Address - Fax:318-865-2312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAHC0007512101YA0400X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1038610Medicaid
LA1038547Medicaid
LA1038580Medicaid
LA1038601Medicaid