| Phoenix Counseling And Therapeutic Services, Llc | |
|
1720 Stumpf Blvd 202 Terrytown LA 70056-3997 | |
| (504) 382-9879 | |
| (504) 910-9339 |
| Full Name | Phoenix Counseling And Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1720 Stumpf Blvd, Terrytown, Louisiana |
| Authorized Official Name and Position | Yettia Benn Jasmine (OWNER) |
| Authorized Official Contact | 5043829879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling And Therapeutic Services, Llc 1221 L B Landry Ave New Orleans LA 70114-2656 Ph: (504) 382-9879 | Phoenix Counseling And Therapeutic Services, Llc 1720 Stumpf Blvd 202 Terrytown LA 70056-3997 Ph: (504) 382-9879 |
| NPI Number | 1669928453 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669928453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6795 (Louisiana) | Primary |
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