| Vernon Community Counseling Services, Llc | |
|
282 Alexandria Hwy Leesville LA 71446-2146 | |
| (337) 213-2393 | |
| Not Available |
| Full Name | Vernon Community Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 282 Alexandria Hwy, Leesville, Louisiana |
| Authorized Official Name and Position | Debra Louise Holler (CEO) |
| Authorized Official Contact | 3372132393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon Community Counseling Services, Llc Po Box 1726 Leesville LA 71496-1726 Ph: (337) 213-2393 | Vernon Community Counseling Services, Llc 282 Alexandria Hwy Leesville LA 71446-2146 Ph: (337) 213-2393 |
| NPI Number | 1770840464 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 04/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770840464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | MFT368 (Louisiana) | Primary |
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