Organization
CROSSINGS CHRISTIAN COUNSELING
Active
Other names
Trinity Baptist Church
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA TAMMETTE BULLOCK LPC (COUNSELOR)
(318) 537-6220
Entity
Organization
Contact information
Practice address
1002 WEST MAIN, OAK GROVE, LA 71263-7126
(318) 537-6220
Mailing address
7099 HIGHWAY 2, OAK GROVE, LA 71263-8392
(318) 537-6220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6359
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386093078
DONATION
LA
Enumeration date
03/01/2018
Last updated
03/01/2018
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