Organization
CROSSINGS CHRISTIAN COUNSELING
Active
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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