NPI | 1063666212 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY M HENDRIX Business Director 318-322-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103K00000X Behavior Analyst | |
103T00000X Psychologist | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
106S00000X Behavior Technician | |
224Z00000X Occupational Therapy Assistant | |
225100000X Physical Therapist | |
2251P0200X Physical Therapist, Pediatrics | |
225200000X Physical Therapy Assistant | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
251S00000X (Licence: LA LMFT # 1117) | |
Enumeration Date | 2008-11-13 |
Last Update Date | 2020-03-26 |