Organization
SECOND CHANCE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARME THOMPSON (CHIEF EXECUTIVE OFFICER)
(985) 817-1107
Entity
Organization
Contact information
Practice address
429 W AIRLINE HWY STE V, LA PLACE, LA 70068-3817
(985) 817-1107
Mailing address
PO BOX 8391, SHREVEPORT, LA 71148-8391
(985) 817-1107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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