| Angels On Assignment Counseling Services, Llc | |
|
5537 Lay Street Gilliam LA 71029 | |
| (318) 674-0065 | |
| (318) 687-1775 |
| Full Name | Angels On Assignment Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5537 Lay Street, Gilliam, Louisiana |
| Authorized Official Name and Position | Ramona Regena Jones (COUNSELOR, CEO) |
| Authorized Official Contact | 3186740065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angels On Assignment Counseling Services, Llc 1679 S Reunion Dr Shreveport LA 71118-2248 Ph: (318) 674-0065 | Angels On Assignment Counseling Services, Llc 5537 Lay Street Gilliam LA 71029 Ph: (318) 674-0065 |
| NPI Number | 1649676016 |
|---|---|
| Provider Enumeration Date | 11/13/2014 |
| Last Update Date | 11/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649676016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1093 (Louisiana) | Secondary |
| 101YP2500X | Counselor - Professional | 3711 (Louisiana) | Primary |