Bobby Church, LPC, NCC
Individual provider Active NPI Professional Counselor · Farmerville, LA
NPI 1013451830 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1013451830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC#4604 (LA)
- Practice address
- 107 Miller St
Farmerville, LA 71241-2311 - Phone
- (318) 368-4755
- Fax
- (318) 982-8050
- NPI assigned
- Dec 13, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC#4604 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Haven Counseling, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC#4604 | LA | Yes |
Addresses
Primary practice location
107 Miller St
Farmerville, LA 71241-2311
Mailing address
107 Miller Street
Farmerville, LA 71241-2311
Phone (318) 368-4755
Other providers in Farmerville, LA
- Clayton Branton
- Brookshire Grocery Company
- David Brandon Brumley
- Lyndon B Carpenter
- Carpenter'S Health Clinic Inc.
- Rainie Church
- Howard Blain Clifton
- Sarah M. Cobb
- Nakeisha Colquitt
- Karen Colvin
All providers in Farmerville, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.