Organization
B3 COMMUNITY ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA MARIE HARDY PHD, LAC, AADC (EXECUTIVE DIRECTOR/CEO)
(337) 249-0536
Entity
Organization
Contact information
Practice address
6027 CANDICE LN, LAKE CHARLES, LA 70615-4773
(337) 520-0057
Mailing address
6027 CANDICE LN, LAKE CHARLES, LA 70615-4773
(337) 520-0057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
102L00000X
Psychoanalyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
04/19/2022
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