Awakening Christian Counseling, Llc | |
7215 Shreveport Hwy Pineville LA 71360-2725 | |
(318) 419-6364 | |
Not Available |
Full Name | Awakening Christian Counseling, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 7215 Shreveport Hwy, Pineville, Louisiana |
Authorized Official Name and Position | Wendy Bordelon (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 3184196364 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Awakening Christian Counseling, Llc 1737 Watson Rd Pineville LA 71360-9038 Ph: (318) 419-6364 | Awakening Christian Counseling, Llc 7215 Shreveport Hwy Pineville LA 71360-2725 Ph: (318) 419-6364 |
NPI Number | 1679871339 |
---|---|
Provider Enumeration Date | 03/04/2011 |
Last Update Date | 03/04/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679871339 | NPI | - | NPPES |
1891742185 | Other | LA | NPI INDIVIDUAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4150 (Louisiana) | Primary |
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