Organization
COMMUNITY COUNSELING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEISHA SELVAGE HOUSTON PLPC (CEO)
(225) 806-0797
Entity
Organization
Contact information
Practice address
2996 TECUMSEH ST, BATON ROUGE, LA 70805-7979
(225) 806-0797
(225) 358-7997
Mailing address
2996 TECUMSEH ST, BATON ROUGE, LA 70805-7979
(225) 806-0797
(225) 358-7997
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/04/2016
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