Organization
INNOVATIVE BEHAVIOR & COUNSELING SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMONE ELLOIE SHELTON ED. D (CEO/LICENSED PROFESSIONAL COUNSELOR)
(225) 252-3655
Entity
Organization
Contact information
Practice address
18291 MANCHAC PLACE DR, PRAIRIEVILLE, LA 70769-3355
(225) 252-3655
Mailing address
18291 MANCHAC PLACE DR, PRAIRIEVILLE, LA 70769-3355
(225) 252-3655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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