| NPI | 1982058756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON TERRELL Owner/CEO 318-453-3895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 251S00000X Community/Behavioral Health (Licence: LA BH0011664) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2023-07-10 |