Organization
LATOYA RANDALL COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA NECHELE RANDALL LPC (MANAGER)
(318) 469-9790
Entity
Organization
Contact information
Practice address
443 SAINT CHARLES BLVD, SHREVEPORT, LA 71106-8541
(318) 469-9790
Mailing address
1651 E 70TH ST # 320, SHREVEPORT, LA 71105-5115
(318) 469-9790
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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