Organization
THERAPEUTIC COUNSELING CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL FORNEA (OWNER / PRESIDENT)
(985) 735-9448
Entity
Organization
Contact information
Practice address
542 COLUMBIA ST STE B, BOGALUSA, LA 70427-4720
(985) 735-9448
(985) 735-8097
Mailing address
542 COLUMBIA ST STE B, BOGALUSA, LA 70427-4720
(985) 735-9448
(985) 735-8097
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/29/2011
Last updated
06/19/2023
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