Awakening Christian Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4150 Issued in LA

Legal business name

AWAKENING CHRISTIAN COUNSELING, LLC

Practice address

7215 Shreveport Hwy
Pineville, LA 71360-2725

Phone

(318) 419-6364

NPI assigned

Mar 4, 2011

Last updated

Mar 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Bordelon, MSW, LCSW, BACSNPI 1891742185

Title

Clinical Social Worker

Phone

(318) 419-6364

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wendy Williams Bordelon, MSW, LCSW, BACS

  • Clinical Social Worker
  • Pineville, LA
  • NPI 1891742185
  Authorized official Same address or phone

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1679871339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 WATSON RD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713609038",
            "telephone_number": "318-419-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713602725",
            "telephone_number": "318-419-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING CHRISTIAN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "318-419-6364",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, BACS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PROVIDER NUMBER",
            "identifier": "1891742185",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Armoo
• Maria Gonsoulin Armstrong, RD, LDN
• Crystal Atkins, LCSW
• Catherine Shipes Augustine
• Monica Yvette Austin
• B.R. Collins Construction, LLC
• Nicole Brooke Babin, APRN, ANP
• Belinda Bacon, NP
• Ashlie Hirchak Baker, RDN, LDN
• Emily Anne Baker

• Clinical Social Worker in Pineville, LA
• Providers in Pineville, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.