| Desiree Earle Counseling And Consultation | |
|
1613 Jimmie Davis Hwy Ste 400 Bossier City LA 71112-4557 | |
| (318) 584-7297 | |
| Not Available |
| Full Name | Desiree Earle Counseling And Consultation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1613 Jimmie Davis Hwy Ste 400, Bossier City, Louisiana |
| Authorized Official Name and Position | Desiree Earle (OWNER/OPERATOR) |
| Authorized Official Contact | 3184536897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Earle Counseling And Consultation 326 Levin Ln Shreveport LA 71105-4714 Ph: (318) 453-6897 | Desiree Earle Counseling And Consultation 1613 Jimmie Davis Hwy Ste 400 Bossier City LA 71112-4557 Ph: (318) 584-7297 |
| NPI Number | 1922634955 |
|---|---|
| Provider Enumeration Date | 03/22/2020 |
| Last Update Date | 03/22/2020 |
| Certification Date | 03/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922634955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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