| Bridging The Gap Counseling Services | |
| 
					184 Camellia Pl Grambling LA 71245-2320  | |
| (318) 331-3977 | |
| Not Available | 
| Full Name | Bridging The Gap Counseling Services | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 184 Camellia Pl, Grambling, Louisiana | 
| Authorized Official Name and Position | Felicia Renee Douglas (DIRECTOR) | 
| Authorized Official Contact | 3183313977 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bridging The Gap Counseling Services 184 Camellia Pl Grambling LA 71245-2320 Ph: (318) 331-3977  | Bridging The Gap Counseling Services 184 Camellia Pl Grambling LA 71245-2320 Ph: (318) 331-3977  | 
| NPI Number | 1922542315 | 
|---|---|
| Provider Enumeration Date | 12/05/2016 | 
| Last Update Date | 12/05/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922542315 | NPI | - | NPPES | 
| 435397178 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
Community Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Dunbar St, Grambling, LA 71245 Phone: 318-914-2955  |