Organization
AWAKENING CHRISTIAN COUNSELING, LLC
Active
Organization
AWAKENING CHRISTIAN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY BORDELON MSW, LCSW, BACS (CLINICAL SOCIAL WORKER)
(318) 419-6364
Entity
Organization
Contact information
Practice address
7215 SHREVEPORT HWY, PINEVILLE, LA 71360-2725
(318) 419-6364
Mailing address
1737 WATSON RD, PINEVILLE, LA 71360-9038
(318) 419-6364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4150
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891742185
NPI INDIVIDUAL PROVIDER NUMBER
LA
Enumeration date
03/04/2011
Last updated
03/04/2011
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