| Roan Counseling, Llc | |
|
1455 E Bert Kouns Industrial Loop # 102 Shreveport LA 71105-5634 | |
| (318) 798-4444 | |
| (318) 795-4748 |
| Full Name | Roan Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1455 E Bert Kouns Industrial Loop # 102, Shreveport, Louisiana |
| Authorized Official Name and Position | Roan Jordan Flenniken (LICENSED PROFESSIONAL COUNCELOR) |
| Authorized Official Contact | 3184556008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roan Counseling, Llc Po Box 53032 Shreveport LA 71135-3032 Ph: (318) 798-4539 | Roan Counseling, Llc 1455 E Bert Kouns Industrial Loop # 102 Shreveport LA 71105-5634 Ph: (318) 798-4444 |
| NPI Number | 1003371626 |
|---|---|
| Provider Enumeration Date | 02/07/2019 |
| Last Update Date | 02/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003371626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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