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Organization
PELICAN BAYOU COUNSELING AGENCY INC.
Active
Organization
PELICAN BAYOU COUNSELING AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY CUMMINGS (OWNER)
(318) 861-8938
Entity
Organization
Contact information
Practice address
9403 MANSFIELD ROAD, SHREVEPORT, LA 71118-2119
(318) 861-8938
Mailing address
9403 MANSFIELD ROAD, SHREVEPORT, LA 71118-2119
(318) 861-8938
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
06/26/2023
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