Organization
MOSS SIDE COUNSELING SERVICES, LLC
Active
Other names
Moss Side Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH LYNETTE THOMAS PH.D., CRC, LPP (OWNER)
(225) 324-8075
Entity
Organization
Contact information
Practice address
5700 FLORIDA BLVD, SUITE 312, BATON ROUGE, LA 70806-4274
(225) 448-5567
(225) 448-5901
Mailing address
5700 FLORIDA BLVD, SUITE 312, BATON ROUGE, LA 70806-4274
(225) 448-5567
(225) 448-5901
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
00016582
LA
252Y00000X
Early Intervention Provider Agency
Primary
1079
LA
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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