Organization
SHREVEPORT BOSSIER LA COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE LEWIS BLEAKLEY M.A., LPC (LICENSED PROFESSION COUNSELOR)
(318) 613-6912
Entity
Organization
Contact information
Practice address
2285 BENTON RD STE 203, BOSSIER CITY, LA 71111-7933
(318) 613-6912
(318) 666-2294
Mailing address
7109 PINE OAK LN, GREENWOOD, LA 71033-3377
(318) 613-6912
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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