Organization
FOUNDATION COUNSELING, COACHING & CONSULTATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENITA BLUE BLUE LCSW (MANAGER)
(318) 655-3807
Entity
Organization
Contact information
Practice address
9051 MANSFIELD RD STE E11, SHREVEPORT, LA 71118-2680
(318) 588-8092
Mailing address
611 E WASHINGTON ST APT 102, SHREVEPORT, LA 71104-3729
(318) 655-3807
(318) 655-3807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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