Louisiana Counseling Services, Llc | |
5920 Coliseum Blvd Alexandria LA 71303-3714 | |
(318) 332-5090 | |
(318) 443-9116 |
Full Name | Louisiana Counseling Services, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 5920 Coliseum Blvd, Alexandria, Louisiana |
Authorized Official Name and Position | Timothy J Blankenbaker (OWNER/COUNSELOR) |
Authorized Official Contact | 3183325090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Louisiana Counseling Services, Llc 5920 Coliseum Blvd Alexandria LA 71303-3714 Ph: (318) 332-5090 | Louisiana Counseling Services, Llc 5920 Coliseum Blvd Alexandria LA 71303-3714 Ph: (318) 332-5090 |
NPI Number | 1063772127 |
---|---|
Provider Enumeration Date | 05/23/2012 |
Last Update Date | 05/14/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063772127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4642 (Louisiana) | Primary |
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