Organization
CHEMICAL DEPENDENCY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LAYNE BONVILLAIN LCSW (OWNER)
(318) 425-3333
Entity
Organization
Contact information
Practice address
1545 LINE AVE STE 170, SHREVEPORT, LA 71101-4629
(318) 425-3333
(225) 208-1850
Mailing address
1545 LINE AVE STE 170, SHREVEPORT, LA 71101-4629
(318) 425-3333
(225) 208-1850
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
316
LA
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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