| Northshore Family Resource Center | |
|
100 S Tyler St Ste 7a Covington LA 70433-3050 | |
| (985) 892-5664 | |
| Not Available |
| Full Name | Northshore Family Resource Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 100 S Tyler St Ste 7a, Covington, Louisiana |
| Authorized Official Name and Position | Claude Arthur Guillotte (OWNER) |
| Authorized Official Contact | 9858925664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Family Resource Center 47142 Oak Creek Trce Hammond LA 70401-3627 Ph: (985) 892-5664 | Northshore Family Resource Center 100 S Tyler St Ste 7a Covington LA 70433-3050 Ph: (985) 892-5664 |
| NPI Number | 1649814328 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 05/29/2024 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649814328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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