Life Restore Counseling & Training, Llc | |
2223 Old Minden Rd Ste C3 Bossier City LA 71112-2303 | |
(318) 573-2133 | |
Not Available |
Full Name | Life Restore Counseling & Training, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2223 Old Minden Rd Ste C3, Bossier City, Louisiana |
Authorized Official Name and Position | John Gregory Gingles (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 3185732133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Restore Counseling & Training, Llc 2223 Old Minden Rd Ste C3 Bossier City LA 71112-2303 Ph: (318) 573-2133 | Life Restore Counseling & Training, Llc 2223 Old Minden Rd Ste C3 Bossier City LA 71112-2303 Ph: (318) 573-2133 |
NPI Number | 1053977348 |
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Provider Enumeration Date | 05/13/2019 |
Last Update Date | 05/13/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053977348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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