| A Center For Hope And Change, Inc. | |
|
1925 Centenary Blvd Shreveport LA 71101-4926 | |
| (318) 673-9901 | |
| (318) 673-9904 |
| Full Name | A Center For Hope And Change, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1925 Centenary Blvd, Shreveport, Louisiana |
| Authorized Official Name and Position | Lacoya Danielle Cummings (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3186739901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Center For Hope And Change, Inc. 1925 Centenary Blvd Shreveport LA 71101-4926 Ph: (318) 673-9901 | A Center For Hope And Change, Inc. 1925 Centenary Blvd Shreveport LA 71101-4926 Ph: (318) 673-9901 |
| NPI Number | 1265580633 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265580633 | NPI | - | NPPES |
| 1147664 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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