| Changing Directions Counseling & Consulting, Llc | |
|
5920 Coliseum Blvd Alexandria LA 71303-3714 | |
| (318) 443-9339 | |
| Not Available |
| Full Name | Changing Directions Counseling & Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5920 Coliseum Blvd, Alexandria, Louisiana |
| Authorized Official Name and Position | Traci D Miller-earl (OWNER) |
| Authorized Official Contact | 9367158293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Directions Counseling & Consulting, Llc Po Box 2004 5019 Shreveport Hwy Tioga LA 71477-9998 Ph: (936) 715-8293 | Changing Directions Counseling & Consulting, Llc 5920 Coliseum Blvd Alexandria LA 71303-3714 Ph: (318) 443-9339 |
| NPI Number | 1881120459 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 02/09/2020 |
| Certification Date | 02/09/2020 |
| Medicare PECOS PAC ID | 8820366263 |
|---|---|
| Medicare Enrollment ID | O20170608000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881120459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11031 (Louisiana) | Primary |
| Provider Name | Traci Denise Miller-earl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558602698 PECOS PAC ID: 9739457177 Enrollment ID: I20170608000020 |
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