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Organization

CIRCLE OF FRIENDS COUNSELING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DARNELL LINNEAR MBA (DIRECTOR)
(318) 532-9214
Entity
Organization

Contact information

Practice address
700 PIERRE AVE, SUITE A, SHREVEPORT, LA 71103-2725
(318) 532-9214
(318) 603-6622
Mailing address
700 PIERRE AVE, SUITE A, SHREVEPORT, LA 71103-2725
(318) 532-9214
(318) 603-6622

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
172V00000X
Community Health Worker
175T00000X
Peer Specialist
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
252Y00000X
Early Intervention Provider Agency
305S00000X
Point of Service
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912447095
LA
Enumeration date
03/08/2017
Last updated
09/17/2018
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