Organization Name: | CBS COUNSELING CENTER LLC |
NPI Number: | 1003152703 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA MICHELLE PHILLIPS (BUSINESS MANAGER) |
Mailing Address: | 1406 Hawn Ave Shreveport |
State: | LA US |
Postal Code: | 711076532 |
Phone Number: | 3176175869 |
Fax Number: | 3176750226 |
NPI Enumeration Date: | 12/27/2012 |
NPI Last Update Date: | 12/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 10334075#CSL73 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |