Organization Name: | OPTIMISTIC OUTCOMES COUNSELING SERVICES, LLC |
NPI Number: | 1124379177 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER BROWN (COUNSELOR/OWNER) |
Mailing Address: | 3020 Knight St Suite 230 Shreveport |
State: | LA US |
Postal Code: | 711052554 |
Phone Number: | 3186580021 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2012 |
NPI Last Update Date: | 09/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4218 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |