Individual
MRS. TWANDOLYN WHITE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3936 GREENWOOD RD, SHREVEPORT, LA 71109-6409
(318) 636-6002
(318) 716-1234
Mailing address
3936 GREENWOOD RD, SHREVEPORT, LA 71109-6409
(318) 636-6002
(318) 716-1234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-0904250
LIGHTHOUSE COUNSELING AGENCY, LLC
LA
Enumeration date
09/14/2016
Last updated
09/14/2016
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