Organization
SUPERIOR COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA OVALETTE BODEN M ED (OWNER)
(318) 681-9935
Entity
Organization
Contact information
Practice address
2620 CENTENARY BLVD, BLDG 3 STE 312, SHREVEPORT, LA 71104-3356
(318) 681-9935
(318) 681-9938
Mailing address
2620 CENTENARY BLVD, BLDG 3 STE 312, SHREVEPORT, LA 71104-3356
(318) 681-9935
(318) 681-9938
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/02/2010
Last updated
06/21/2023
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