| Jenkins Counseling Services, Llc | |
|
1513 Line Ave Ste 225 Shreveport LA 71101-4621 | |
| (318) 754-3890 | |
| (318) 658-9012 |
| Full Name | Jenkins Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1513 Line Ave Ste 225, Shreveport, Louisiana |
| Authorized Official Name and Position | James Perry Jenkins (CEO) |
| Authorized Official Contact | 3184700931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenkins Counseling Services, Llc 1513 Line Ave Ste 225 Shreveport LA 71101-4621 Ph: (318) 754-3890 | Jenkins Counseling Services, Llc 1513 Line Ave Ste 225 Shreveport LA 71101-4621 Ph: (318) 754-3890 |
| NPI Number | 1831556216 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Medicare PECOS PAC ID | 7315329703 |
|---|---|
| Medicare Enrollment ID | O20220802000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831556216 | NPI | - | NPPES |
| Provider Name | Kimberly D. Law |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427029438 PECOS PAC ID: 2668481201 Enrollment ID: I20060411000116 |
| Provider Name | Ashley Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356820054 PECOS PAC ID: 3678954674 Enrollment ID: I20220722000363 |
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