| Grandir Counseling And Restoration Llc | |
|
1000 Chinaberry Dr Ste 502 Bossier City LA 71111-2462 | |
| (318) 465-5184 | |
| Not Available |
| Full Name | Grandir Counseling And Restoration Llc |
|---|---|
| Speciality | Counselor |
| Location | 1000 Chinaberry Dr Ste 502, Bossier City, Louisiana |
| Authorized Official Name and Position | Tiffany Voinche (OWNER/COUNSELOR) |
| Authorized Official Contact | 3184655184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grandir Counseling And Restoration Llc 1114 Eli Connor Dr Bossier City LA 71112-4800 Ph: (318) 465-5184 | Grandir Counseling And Restoration Llc 1000 Chinaberry Dr Ste 502 Bossier City LA 71111-2462 Ph: (318) 465-5184 |
| NPI Number | 1326880600 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/08/2024 |
| Medicare PECOS PAC ID | 2365973278 |
|---|---|
| Medicare Enrollment ID | O20241002003863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326880600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tiffany St John Voinche |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255966636 PECOS PAC ID: 3274064183 Enrollment ID: I20241002003940 |
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