Organization
THINKCHANGE INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY ALAN LANE LCSW (OWNER)
(337) 528-6969
Entity
Organization
Contact information
Practice address
700 1ST AVE, SULPHUR, LA 70663-3423
(337) 528-6969
(337) 528-6970
Mailing address
700 1ST AVE, SULPHUR, LA 70663-3423
(337) 528-6969
(337) 528-6970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7327
LA
Other
Enumeration date
08/07/2012
Last updated
02/23/2015
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