| Northside Counseling Services, Llc | |
|
1413 Military Rd Bogalusa LA 70427-2935 | |
| (985) 516-3298 | |
| Not Available |
| Full Name | Northside Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1413 Military Rd, Bogalusa, Louisiana |
| Authorized Official Name and Position | Robert Dale Lott (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9855163298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Counseling Services, Llc 1413 Military Rd Bogalusa LA 70427-2935 Ph: (985) 516-3298 | Northside Counseling Services, Llc 1413 Military Rd Bogalusa LA 70427-2935 Ph: (985) 516-3298 |
| NPI Number | 1548536303 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548536303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4039 (Louisiana) | Primary |
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