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Organization

MELOSA FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TIAUMEKA S SIMMONS-THOMAS MA, MA, LPC, NCC (DIRETOR)
(318) 220-6054
Entity
Organization

Contact information

Practice address
3018 OLD MINDEN RD, SUITE 1101, BOSSIER CITY, LA 71112-2476
(318) 220-6054
Mailing address
3018 OLD MINDEN RD, SUITE 1101, BOSSIER CITY, LA 71112-2476
(318) 220-6054

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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