Shreveport Bossier la Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHREVEPORT BOSSIER LA COUNSELING SERVICES

Practice address

2285 Benton Rd Ste 203
Bossier City, LA 71111-7933

Phone

(318) 613-6912

Fax

(318) 666-2294

NPI assigned

Apr 12, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adrienne Lewis Bleakley, M.A., LPC

Title

Licensed Profession Counselor

Phone

(318) 613-6912

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1356804694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 PINE OAK LN",
            "city": "GREENWOOD",
            "state": "LA",
            "postal_code": "710333377",
            "telephone_number": "318-613-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 BENTON RD STE 203",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117933",
            "telephone_number": "318-613-6912",
            "fax_number": "318-666-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREVEPORT BOSSIER LA COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "BLEAKLEY",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "LICENSED PROFESSION COUNSELOR",
        "authorized_official_telephone_number": "318-613-6912",
        "authorized_official_credential": "M.A., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.