| Melosa Foundation | |
|
3018 Old Minden Rd Suite 1101 Bossier City LA 71112-2476 | |
| (318) 220-6054 | |
| Not Available |
| Full Name | Melosa Foundation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3018 Old Minden Rd, Bossier City, Louisiana |
| Authorized Official Name and Position | Tiaumeka S Simmons-thomas (DIRETOR) |
| Authorized Official Contact | 3182206054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melosa Foundation 3018 Old Minden Rd Suite 1101 Bossier City LA 71112-2476 Ph: (318) 220-6054 | Melosa Foundation 3018 Old Minden Rd Suite 1101 Bossier City LA 71112-2476 Ph: (318) 220-6054 |
| NPI Number | 1588915441 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588915441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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