Organization
ABUNDANCE COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAE AMESIA JOHNSON LCSW (OWNER/THERAPIST)
(504) 657-8018
Entity
Organization
Contact information
Practice address
1500 LAFAYETTE ST STE 150, GRETNA, LA 70053-5799
(504) 657-8018
Mailing address
5928 THREE OAKS CT, MARRERO, LA 70072-5897
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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