Organization
MENDING THE SOUL RESTORATION OF THE MIND BODY AND SOUL
Active
Other names
Mending the Soul RMBS
Organization subpart
No
Provider details
NPI number
Authorized official
SHONTELL BUFFINGTON LCSW (OWNER)
(225) 223-8252
Entity
Organization
Contact information
Practice address
3029 S SHERWOOD FOREST BLVD STE 205, BATON ROUGE, LA 70816-2276
(225) 366-8766
(225) 208-1800
Mailing address
PO BOX 64594, BATON ROUGE, LA 70896-4594
(225) 223-8252
(225) 208-1800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2022
Last updated
01/30/2022
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