| Organization Name: | BOSSIER FAMILY COUNSELING, LLC |
| NPI Number: | 1033572672 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER NAWAS (OWNER) |
| Mailing Address: | 1000 Chinaberry Dr Ste 203 Bossier City |
| State: | LA US |
| Postal Code: | 711112461 |
| Phone Number: | 3187517285 |
| Fax Number: | |
| NPI Enumeration Date: | 03/31/2016 |
| NPI Last Update Date: | 03/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5904 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |