| Organization Name: | PETERSON COUNSELING SERVICES, LLC |
| NPI Number: | 1164730396 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH HARRIS PETERSON (COUNSELOR) |
| Mailing Address: | 745 Olive St Suite 109b Shreveport |
| State: | LA US |
| Postal Code: | 711042246 |
| Phone Number: | 3182216070 |
| Fax Number: | 3182216069 |
| NPI Enumeration Date: | 09/22/2010 |
| NPI Last Update Date: | 09/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3657 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |