| Destined For Greatness Counseling, Llc | |
|
1085 Bayou Bay Ct Frierson LA 71027-2012 | |
| (318) 573-2108 | |
| Not Available |
| Full Name | Destined For Greatness Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1085 Bayou Bay Ct, Frierson, Louisiana |
| Authorized Official Name and Position | John'neiska La'peace Williams (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3185732108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destined For Greatness Counseling, Llc 9100 Walker Rd Apt 712 Shreveport LA 71118-2943 Ph: (318) 573-2108 | Destined For Greatness Counseling, Llc 1085 Bayou Bay Ct Frierson LA 71027-2012 Ph: (318) 573-2108 |
| NPI Number | 1366163909 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366163909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |