| Therapeutic Counseling Clinic, Inc. | |
|
542 S Columbia St Bogalusa LA 70427-4720 | |
| (985) 735-9448 | |
| (985) 735-8097 |
| Full Name | Therapeutic Counseling Clinic, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 542 S Columbia St, Bogalusa, Louisiana |
| Authorized Official Name and Position | Wendell Fornea (ADMINISTRATOR/CFO) |
| Authorized Official Contact | 9847359448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Counseling Clinic, Inc. 542 S Columbia St Bogalusa LA 70427-4720 Ph: (985) 735-9448 | Therapeutic Counseling Clinic, Inc. 542 S Columbia St Bogalusa LA 70427-4720 Ph: (985) 735-9448 |
| NPI Number | 1740379262 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740379262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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