| Life Restore Counseling & Training, Llc | |
|
2223 Old Minden Rd Ste C3 Bossier City LA 71112-2303 | |
| (318) 573-2133 | |
| Not Available |
| Full Name | Life Restore Counseling & Training, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2223 Old Minden Rd Ste C3, Bossier City, Louisiana |
| Authorized Official Name and Position | John Gregory Gingles (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3185732133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Restore Counseling & Training, Llc 2223 Old Minden Rd Ste C3 Bossier City LA 71112-2303 Ph: (318) 573-2133 | Life Restore Counseling & Training, Llc 2223 Old Minden Rd Ste C3 Bossier City LA 71112-2303 Ph: (318) 573-2133 |
| NPI Number | 1053977348 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 05/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053977348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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