Organization
PEACEFUL ALTERNATIVES COUNSELING AND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT TERRY M.A. (DIRECTOR OF BUSINESS OPERATION/ MHP)
(318) 670-8898
Entity
Organization
Contact information
Practice address
5902 BUNCOMBE RD, SHREVEPORT, LA 71129-4004
(318) 670-8898
(318) 300-3772
Mailing address
PO BOX 29372, SHREVEPORT, LA 71149
(318) 670-8898
(318) 300-3772
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH0011860
LOUISIANA DEPARTMENT OF HEALTH: BEHAVIORAL HEALTH LICENSE
LA
01
—
BH0012168
LOUISIANA DEPARTMENT OF HEALTH: BEHAVIORAL HEALTH
LA
Enumeration date
06/13/2012
Last updated
06/23/2023
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