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Life Restore Counseling & Training, LLC

Counselor, Mental Health in Bossier City, LA. Organization (NPI-2).

NPI number1053977348
StatusActive
Last updated in NPPESMay 13, 2019

Details

NPI
1053977348
Entity type
Organization (NPI-2)
Legal business name
Life Restore Counseling & Training, LLC
Organization subpart
No
Enumeration date
May 13, 2019
Last updated
May 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

2223 Old Minden Rd Ste C3
Bossier City, LA 71112-2303

Phone 318-573-2133

Mailing address

2223 Old Minden Rd Ste C3
Bossier City, LA 71112-2303

Phone 318-573-2133

Authorized official

John Gregory Gingles
Licensed Professional Counselor
3185732133

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