Bridging The Gap Counseling Services | |
184 Camellia Pl Grambling LA 71245-2320 | |
(318) 331-3977 | |
Not Available |
Full Name | Bridging The Gap Counseling Services |
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Speciality | Community/behavioral Health |
Location | 184 Camellia Pl, Grambling, Louisiana |
Authorized Official Name and Position | Felicia Renee Douglas (DIRECTOR) |
Authorized Official Contact | 3183313977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bridging The Gap Counseling Services 184 Camellia Pl Grambling LA 71245-2320 Ph: (318) 331-3977 | Bridging The Gap Counseling Services 184 Camellia Pl Grambling LA 71245-2320 Ph: (318) 331-3977 |
NPI Number | 1922542315 |
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Provider Enumeration Date | 12/05/2016 |
Last Update Date | 12/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922542315 | NPI | - | NPPES |
435397178 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Community Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Dunbar St, Grambling, LA 71245 Phone: 318-914-2955 |