Organization
ELITE CLINICAL SERVICES, LLC
Active
Organization
ELITE CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYONNIE PERRY LCSW-BACS (OWNER)
(318) 426-1708
Entity
Organization
Contact information
Practice address
2620 CENTENARY BLVD STE 201, SHREVEPORT, LA 71104-3350
(318) 946-8527
(318) 946-8527
Mailing address
2620 CENTENARY BLVD STE 201, SHREVEPORT, LA 71104-3350
(318) 946-8527
(318) 946-8527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
06/06/2019
Last updated
07/30/2019
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