Organization
COVERED: DOULA & THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WASHINGTON (MANAGER)
(318) 467-6052
Entity
Organization
Contact information
Practice address
3825 GILBERT DR STE 134, SHREVEPORT, LA 71104-5031
(318) 467-6052
Mailing address
3825 GILBERT DR STE 134, SHREVEPORT, LA 71104-5031
(318) 467-6052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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