Organization
LIFE RENEWAL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA CARTER LCSW (LCSW)
(225) 464-2560
Entity
Organization
Contact information
Practice address
10473 OLD HAMMOND HWY, #207, BATON ROUGE, LA 70816-8264
(225) 454-2560
Mailing address
PO BOX 78370, CENTRAL, LA 70837-8370
(225) 454-2560
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6117
LA
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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