Organization
ALLIANCE COUNSELING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN P STUMON (OFFICE MANAGER)
(318) 344-4063
Entity
Organization
Contact information
Practice address
819 BEECH ST, TEXARKANA, AR 71854
(318) 268-1402
Mailing address
2285 BENTON RD STE D103, BOSSIER CITY, LA 71111-3465
(318) 584-7197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/23/2017
Last updated
05/25/2018
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