Community Center Llc | |
144 Dunbar St Grambling LA 71245-2206 | |
(318) 914-2955 | |
Not Available |
Full Name | Community Center Llc |
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Speciality | Social Worker - Clinical |
Location | 144 Dunbar St, Grambling, Louisiana |
Authorized Official Name and Position | Elise Hester Reed (CLINICAL DIRECTOR) |
Authorized Official Contact | 3189142955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Center Llc 144 Dunbar St Grambling LA 71245-2206 Ph: (318) 914-2955 | Community Center Llc 144 Dunbar St Grambling LA 71245-2206 Ph: (318) 914-2955 |
NPI Number | 1134687478 |
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Provider Enumeration Date | 03/05/2019 |
Last Update Date | 03/05/2019 |
Identifier | Type | State | Issuer |
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1134687478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Bridging The Gap Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 Camellia Pl, Grambling, LA 71245 Phone: 318-331-3977 |