| 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 |