Organization
WINTERHAVEN PROFESSIONAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS A SMALL LCSW (OWNER)
(318) 228-8801
Entity
Organization
Contact information
Practice address
1760 TEXAS ST, NATCHITOCHES, LA 71457-3429
(318) 238-8801
(318) 238-8803
Mailing address
PO BOX 2221, NATCHITOCHES, LA 71457-2221
(318) 228-8801
(318) 228-8803
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
5785118-001
LA
Other
Enumeration date
03/14/2011
Last updated
07/12/2023
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