| The Childrens Counseling Center Of Shreveport Inc | |
|
225 Mahaffey Rd Princeton LA 71067 | |
| (318) 949-0951 | |
| (318) 949-0951 |
| Full Name | The Childrens Counseling Center Of Shreveport Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 225 Mahaffey Rd, Princeton, Louisiana |
| Authorized Official Name and Position | Jess M Mcentee (PRESIDENT THERAPIST) |
| Authorized Official Contact | 3189490951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Childrens Counseling Center Of Shreveport Inc 225 Mahaffey Rd Princeton LA 71067 Ph: (318) 949-0951 | The Childrens Counseling Center Of Shreveport Inc 225 Mahaffey Rd Princeton LA 71067 Ph: (318) 949-0951 |
| NPI Number | 1659530319 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659530319 | NPI | - | NPPES |
| 552827 | Other | LA | MAGELLAN |
| 4434895890 | Other | LA | BLUE CROSS OF LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 112 (Louisiana) | Primary |