| Innerspace Counseling | |
|
708 Janice Dr Sulphur LA 70663-4210 | |
| (337) 476-9599 | |
| Not Available |
| Full Name | Innerspace Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 708 Janice Dr, Sulphur, Louisiana |
| Authorized Official Name and Position | Bruce Plauche (OWNER) |
| Authorized Official Contact | 3374769599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerspace Counseling 708 Janice Dr Sulphur LA 70663-4210 Ph: (337) 476-9599 | Innerspace Counseling 708 Janice Dr Sulphur LA 70663-4210 Ph: (337) 476-9599 |
| NPI Number | 1679182711 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 07/24/2020 |
| Certification Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679182711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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