| Community Center Llc | |
| 
					144 Dunbar St Grambling LA 71245-2206  | |
| (318) 914-2955 | |
| Not Available | 
| Full Name | Community Center Llc | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 144 Dunbar St, Grambling, Louisiana | 
| Authorized Official Name and Position | Elise Hester Reed (CLINICAL DIRECTOR) | 
| Authorized Official Contact | 3189142955 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Community Center Llc 144 Dunbar St Grambling LA 71245-2206 Ph: (318) 914-2955  | Community Center Llc 144 Dunbar St Grambling LA 71245-2206 Ph: (318) 914-2955  | 
| NPI Number | 1134687478 | 
|---|---|
| Provider Enumeration Date | 03/05/2019 | 
| Last Update Date | 03/05/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134687478 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
Bridging The Gap Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 Camellia Pl, Grambling, LA 71245 Phone: 318-331-3977  |