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Organization
EAGLES WINGS RECOVERY
Active
Organization
EAGLES WINGS RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAL GIPSON LPC LAC CCS AADC (OWNER/ CEO)
(318) 450-7649
Entity
Organization
Contact information
Practice address
208 COLE AVE STE 6, MONROE, LA 71203-3814
(318) 450-7649
(866) 282-5030
Mailing address
208 COLE AVE STE 6, MONROE, LA 71203-3814
(318) 450-7649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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