| Center For Advocating Restoring And Empowering Counseling Llc | |
|
5902 Buncombe Rd Shreveport LA 71129 | |
| (318) 200-0866 | |
| Not Available |
| Full Name | Center For Advocating Restoring And Empowering Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5902 Buncombe Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Crystal Ward (CEO/ LCSW) |
| Authorized Official Contact | 3182000866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Advocating Restoring And Empowering Counseling Llc 1651 E 70th St # 379 Shreveport LA 71105-5115 Ph: (318) 200-0866 | Center For Advocating Restoring And Empowering Counseling Llc 5902 Buncombe Rd Shreveport LA 71129 Ph: (318) 200-0866 |
| NPI Number | 1689341539 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Medicare PECOS PAC ID | 3779989801 |
|---|---|
| Medicare Enrollment ID | O20210915000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689341539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Crystal Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184098311 PECOS PAC ID: 4688070717 Enrollment ID: I20210915003690 |
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