| Social Center Llc | |
|
1205 N 18th St Ste 101a Monroe LA 71201-5400 | |
| (713) 835-5096 | |
| Not Available |
| Full Name | Social Center Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1205 N 18th St Ste 101a, Monroe, Louisiana |
| Authorized Official Name and Position | Dajia Johnson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7138355096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Center Llc 1205 N 18th St Ste 101a Monroe LA 71201-5400 Ph: (713) 835-5096 | Social Center Llc 1205 N 18th St Ste 101a Monroe LA 71201-5400 Ph: (713) 835-5096 |
| NPI Number | 1265166813 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265166813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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