Organization
CHANGING DIRECTIONS COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI D MILLER-EARL LCSW-BACS (OWNER)
(936) 715-8293
Entity
Organization
Contact information
Practice address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 443-9339
Mailing address
PO BOX 2004, 5019 SHREVEPORT HWY, TIOGA, LA 71477-9998
(936) 715-8293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11031
LA
Other
Enumeration date
05/02/2017
Last updated
02/09/2020
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