Organization
CHANGING LIVES COUNSELING AND MENTORING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS QUAONE ANDERS (OWNER)
(318) 732-8941
Entity
Organization
Contact information
Practice address
414 MADELINE ST, RAYVILLE, LA 71269-2514
(318) 732-8941
Mailing address
414 MADELINE ST, RAYVILLE, LA 71269-2514
(318) 732-8941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/24/2016
Last updated
06/22/2023
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