Organization
ROAD TO CHANGE
Active
Other names
Road to Change
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L. L CONVERSE LPC (OWNER)
(225) 439-1153
Entity
Organization
Contact information
Practice address
8101 KINGSTON RD STE 101B, SHREVEPORT, LA 71108-5745
(225) 439-1153
Mailing address
9019 TOPLECOT DR STE 101B, SHREVEPORT, LA 71129-5137
(225) 439-1153
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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