Organization
SOURCE OF SOLUTIONS COUNSELING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSLYN STUMON (OWNER/ADMINISTRATOR)
(318) 584-7197
Entity
Organization
Contact information
Practice address
2285 BENTON RD STE D103, BOSSIER CITY, LA 71111-3465
(318) 584-7197
(318) 584-7080
Mailing address
2285 BENTON RD STE D103, BOSSIER CITY, LA 71111-3465
(318) 584-7197
(318) 584-7080
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
06/13/2023
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