| Samaritan Counseling Center Of Imperial Calcasieu | |
|
833 Hodges St Lake Charles LA 70601-4247 | |
| (337) 433-4357 | |
| (337) 433-9764 |
| Full Name | Samaritan Counseling Center Of Imperial Calcasieu |
|---|---|
| Speciality | Clinic/center |
| Location | 833 Hodges St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Mickey Rentrop Shannon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3374334357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Counseling Center Of Imperial Calcasieu 833 Hodges St Lake Charles LA 70601-4247 Ph: (337) 433-4357 | Samaritan Counseling Center Of Imperial Calcasieu 833 Hodges St Lake Charles LA 70601-4247 Ph: (337) 433-4357 |
| NPI Number | 1134279276 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134279276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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