Organization
NORTHSIDE COUNSELING SERVICES, LLC
Active
Organization
NORTHSIDE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DALE LOTT LPC (LICENSED PROFESSIONAL COUNSELOR)
(985) 516-3298
Entity
Organization
Contact information
Practice address
1413 MILITARY RD, BOGALUSA, LA 70427-2935
(985) 516-3298
Mailing address
1413 MILITARY RD, BOGALUSA, LA 70427-2935
(985) 516-3298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4039
LA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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