| Elated Counseling | |
|
2020 E 70th St Ste 201 Shreveport LA 71105 | |
| (318) 751-9098 | |
| Not Available |
| Full Name | Elated Counseling |
|---|---|
| Speciality | Counselor |
| Location | 2020 E 70th St Ste 201, Shreveport, Louisiana |
| Authorized Official Name and Position | Allison Borel (OWNER) |
| Authorized Official Contact | 3187519098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elated Counseling 2020 E 70th St Ste 201 Shreveport LA 71105-5332 Ph: (318) 751-9098 | Elated Counseling 2020 E 70th St Ste 201 Shreveport LA 71105 Ph: (318) 751-9098 |
| NPI Number | 1548760671 |
|---|---|
| Provider Enumeration Date | 02/15/2018 |
| Last Update Date | 03/19/2021 |
| Certification Date | 09/21/2020 |
| Medicare PECOS PAC ID | 1658782032 |
|---|---|
| Medicare Enrollment ID | O20201117000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548760671 | NPI | - | NPPES |
| Provider Name | Sarah J Farlough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770025553 PECOS PAC ID: 0648607853 Enrollment ID: I20200228001257 |
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