| Summer Grove Counseling Services Llc | |
|
9300 Mansfield Rd Ste 107 Shreveport LA 71118-3137 | |
| (318) 469-0146 | |
| (318) 687-0261 |
| Full Name | Summer Grove Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9300 Mansfield Rd Ste 107, Shreveport, Louisiana |
| Authorized Official Name and Position | Janet L Huff (MANAGER AND SOLE MEMBER) |
| Authorized Official Contact | 3184690146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summer Grove Counseling Services Llc 9300 Mansfield Rd Ste 107 Shreveport LA 71118-3137 Ph: (318) 469-0146 | Summer Grove Counseling Services Llc 9300 Mansfield Rd Ste 107 Shreveport LA 71118-3137 Ph: (318) 469-0146 |
| NPI Number | 1275709032 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275709032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC 2593 (Louisiana) | Primary |
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