Organization
CBS COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA MICHELLE PHILLIPS MBA (BUSINESS MANAGER)
(318) 617-5869
Entity
Organization
Contact information
Practice address
1406 HAWN AVE, SHREVEPORT, LA 71107-6532
(317) 617-5869
(317) 675-0226
Mailing address
1406 HAWN AVE, SHREVEPORT, LA 71107-6532
(317) 617-5869
(317) 675-0226
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10334075#CSL73
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
10334075#CSL73
LA
101YM0800X
Mental Health Counselor
10334075#CSL73
LA
101YP2500X
Professional Counselor
Primary
10334075#CSL73
LA
251S00000X
Community/Behavioral Health Agency
10334075#CSL73
LA
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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