| Choosing Change Counseling | |
|
408 E Kentucky Ave Ruston LA 71270-2522 | |
| (318) 235-3383 | |
| Not Available |
| Full Name | Choosing Change Counseling |
|---|---|
| Speciality | Counselor |
| Location | 408 E Kentucky Ave, Ruston, Louisiana |
| Authorized Official Name and Position | Jeremy Shannon Boyce (LPC) |
| Authorized Official Contact | 3182353383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choosing Change Counseling 408 E Kentucky Ave Ruston LA 71270-2522 Ph: (318) 235-3383 | Choosing Change Counseling 408 E Kentucky Ave Ruston LA 71270-2522 Ph: (318) 235-3383 |
| NPI Number | 1922630730 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 9638515653 |
|---|---|
| Medicare Enrollment ID | O20240313002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922630730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jeremy Shannon Boyce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821523242 PECOS PAC ID: 6901242296 Enrollment ID: I20240313002095 |
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