| Louisiana Counseling Services, Llc | |
|
5920 Coliseum Blvd Alexandria LA 71303-3714 | |
| (318) 332-5090 | |
| (318) 443-9116 |
| Full Name | Louisiana Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5920 Coliseum Blvd, Alexandria, Louisiana |
| Authorized Official Name and Position | Timothy J Blankenbaker (OWNER/COUNSELOR) |
| Authorized Official Contact | 3183325090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Counseling Services, Llc 5920 Coliseum Blvd Alexandria LA 71303-3714 Ph: (318) 332-5090 | Louisiana Counseling Services, Llc 5920 Coliseum Blvd Alexandria LA 71303-3714 Ph: (318) 332-5090 |
| NPI Number | 1063772127 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063772127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4642 (Louisiana) | Primary |
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