| Kingdom Expressions Llc | |
|
1639 Ryan St Ste B Lake Charles LA 70601-5948 | |
| (888) 859-4202 | |
| Not Available |
| Full Name | Kingdom Expressions Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1639 Ryan St Ste B, Lake Charles, Louisiana |
| Authorized Official Name and Position | Shakera L Mckenzie (CEO) |
| Authorized Official Contact | 3376026391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Expressions Llc 1634 Ryan St Lake Charles LA 70601-5949 Ph: (376) 026-3913 | Kingdom Expressions Llc 1639 Ryan St Ste B Lake Charles LA 70601-5948 Ph: (888) 859-4202 |
| NPI Number | 1346785367 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346785367 | NPI | - | NPPES |
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