| Roots Counseling Llc | |
|
1510 Hodges St Lake Charles LA 70601-6013 | |
| (337) 502-9497 | |
| (337) 340-9305 |
| Full Name | Roots Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1510 Hodges St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Paul Gonsoulin (OWNER) |
| Authorized Official Contact | 3375029497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Counseling Llc 1510 Hodges St Lake Charles LA 70601-6013 Ph: (337) 502-9497 | Roots Counseling Llc 1510 Hodges St Lake Charles LA 70601-6013 Ph: (337) 502-9497 |
| NPI Number | 1821758749 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821758749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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