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Organization
COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Active
Organization
COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Active
Parent organization
COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Other names
CHI - Caddo
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Authorized official
MRS. MARY MADDEN CHUMLEY (EXECUTIVE DIRECTOR)
(318) 688-3350
Entity
Organization
Contact information
Practice address
2120 BERT KOUNS INDUSTRIAL LOOP STE B, SHREVEPORT, LA 71118-3351
(318) 688-3350
(318) 688-3655
Mailing address
2120 BERT KOUNS INDUSTRIAL LOOP STE A, SHREVEPORT, LA 71118-3351
(318) 688-3350
(318) 688-3655
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1223G0001X
General Practice Dentistry
Primary
3665
LA
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452769
—
LA
01
—
455678
UNITED CONCORDIA INS.
—
01
—
C8303
BLUE CROSS/BLUE SHIELD LA
LA
Enumeration date
11/01/2006
Last updated
10/18/2023
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