Organization · NPI-2

Circle Of Friends Counseling Center, LLC

Community/Behavioral Health · Shreveport, LA

NPI number1912447095

StatusActive

Last updated in NPPESSep 17, 2018

Details

NPI: 1912447095
Entity type: Organization (NPI-2)
Legal business name: Circle Of Friends Counseling Center, LLC
Organization subpart: No
Enumeration date: Mar 8, 2017
Last updated: Sep 17, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
101Y00000X	Counselor	–	–
172V00000X	Community Health Worker	–	–
175T00000X	Peer Specialist	–	–
251B00000X	Case Management	–	–
252Y00000X	Early Intervention Provider Agency	–	–
305S00000X	Point of Service	–	LA

Practice location

700 Pierre Ave
Suite A
Shreveport, LA 71103-2725

Phone 318-532-9214 · Fax 318-603-6622

Mailing address

700 Pierre Ave
Suite A
Shreveport, LA 71103-2725

Phone 318-532-9214 · Fax 318-603-6622

Authorized official

Darnell Linnear
Director
3185329214

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