| NPI | 1790278018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE PHILLIPS-SMART Counselor 318-529-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-08-01 |