Success Counseling Services North Dba Success Insite | |
1504 Barksdale Blvd Bossier City LA 71111-4602 | |
(318) 222-4299 | |
(318) 425-2696 |
Full Name | Success Counseling Services North Dba Success Insite |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1504 Barksdale Blvd, Bossier City, Louisiana |
Authorized Official Name and Position | Donnalee Ammons (DIRECTOR) |
Authorized Official Contact | 3182224299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Success Counseling Services North Dba Success Insite 1504 Barksdale Blvd Bossier City LA 71111-4602 Ph: (318) 222-4299 | Success Counseling Services North Dba Success Insite 1504 Barksdale Blvd Bossier City LA 71111-4602 Ph: (318) 222-4299 |
NPI Number | 1699780122 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699780122 | NPI | - | NPPES |
1677574 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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