| Family Bridges Counseling Center, Llc | |
|
4131 Canal St Ste B Lake Charles LA 70605-3362 | |
| (337) 274-8017 | |
| (833) 713-2641 |
| Full Name | Family Bridges Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4131 Canal St Ste B, Lake Charles, Louisiana |
| Authorized Official Name and Position | Michelle Renee Roshto (PROVIDER) |
| Authorized Official Contact | 3372748017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Bridges Counseling Center, Llc 4131 Canal St Ste B Lake Charles LA 70605-3362 Ph: (337) 274-8017 | Family Bridges Counseling Center, Llc 4131 Canal St Ste B Lake Charles LA 70605-3362 Ph: (337) 274-8017 |
| NPI Number | 1457767980 |
|---|---|
| Provider Enumeration Date | 07/04/2014 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457767980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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