Organization
FOREVER WELLNESS & RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI BIERBAUM LPC-S (CLINICAL DIRECTOR)
(318) 562-6616
Entity
Organization
Contact information
Practice address
910 PIERREMONT RD STE 311, SHREVEPORT, LA 71106-2058
(318) 525-6099
Mailing address
910 PIERREMONT RD STE 300, SHREVEPORT, LA 71106-2056
(318) 562-6616
(318) 562-6618
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
06/03/2021
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