Organization
J & J IMPACT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE HARRELL (OWNER)
(318) 208-8908
Entity
Organization
Contact information
Practice address
1842 IRVING PL, SHREVEPORT, LA 71101-4608
(318) 208-8908
(318) 208-8935
Mailing address
1842 IRVING PL, SHREVEPORT, LA 71101-4608
(318) 208-8908
(318) 208-8935
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
02/13/2024
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