Organization
DIVINE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA DOUGLAS LPC-S (OWNER/CEO)
(318) 347-4994
Entity
Organization
Contact information
Practice address
8870 YOUREE DR STE 105, SHREVEPORT, LA 71115-2512
(318) 347-4994
Mailing address
2803 JONATHAN LN, SHREVEPORT, LA 71108-5531
(318) 347-4994
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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