Organization
PELICAN BAYOU COUNSELING AGENCY-TEXAS
Active
Parent organization
PELICAN BAYOU COUNSELING AGENCY INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PELICAN BAYOU COUNSELING AGENCY INC.
Authorized official
MRS. BRITTNEY JEWITT (CEO)
(318) 470-1632
Entity
Organization
Contact information
Practice address
1111 W MOCKINGBIRD LN STE 7-2, DALLAS, TX 75247-5028
(318) 861-8938
Mailing address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/15/2020
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