| Therapeutic Counseling Clinic Inc | |
|
542 Columbia St Ste B Bogalusa LA 70427-4720 | |
| (985) 735-9448 | |
| (985) 735-8097 |
| Full Name | Therapeutic Counseling Clinic Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 542 Columbia St Ste B, Bogalusa, Louisiana |
| Authorized Official Name and Position | Wendell Fornea (OWNER / PRESIDENT) |
| Authorized Official Contact | 9857359448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Counseling Clinic Inc 542 Columbia St Ste B Bogalusa LA 70427-4720 Ph: (985) 735-9448 | Therapeutic Counseling Clinic Inc 542 Columbia St Ste B Bogalusa LA 70427-4720 Ph: (985) 735-9448 |
| NPI Number | 1194009993 |
|---|---|
| Provider Enumeration Date | 09/29/2011 |
| Last Update Date | 06/19/2023 |
| Certification Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194009993 | NPI | - | NPPES |
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