Organization Name: | ANOTHER CHANCE INC |
NPI Number: | 1710169412 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAVERNE M PAUL (OWNER THERAPIST) |
Mailing Address: | 1884 N 1st Street Jena |
State: | LA US |
Postal Code: | 713422730 |
Phone Number: | 3189922730 |
Fax Number: | 3189922730 |
NPI Enumeration Date: | 12/04/2007 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |