Organization
SHREVEPORT BOSSIER LA COUNSELING SERVICES
Active
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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