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Organization
PEACEFUL ALTERNATIVES COUNSELING AND THERAPY, LLC
Active
Organization
PEACEFUL ALTERNATIVES COUNSELING AND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT TERRY M.A. (DIRECTOR OF BUSINESS OPERATION/ MHP)
(318) 670-8898
Entity
Organization
Contact information
Practice address
5902 BUNCOMBE RD, SHREVEPORT, LA 71129-4004
(318) 670-8898
(318) 300-3772
Mailing address
PO BOX 29372, SHREVEPORT, LA 71149
(318) 670-8898
(318) 300-3772
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH0011860
LOUISIANA DEPARTMENT OF HEALTH: BEHAVIORAL HEALTH LICENSE
LA
01
—
BH0012168
LOUISIANA DEPARTMENT OF HEALTH: BEHAVIORAL HEALTH
LA
Enumeration date
06/13/2012
Last updated
06/23/2023
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