Tina Chantelle Bass
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Rayville, LA
NPI 1962266601 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1962266601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CIT-5752 (LA)
- Practice address
- 161 Comeaux Rd
Rayville, LA 71269-7554 - Phone
- (318) 303-5500
- NPI assigned
- Feb 13, 2024
- Sex
- Female
- 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 |
|---|---|---|---|
| CIT-5752 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Chances Recovery Center LLC | Current |
Accepting new patients |
Locations
161 Comeaux Rd
Rayville, LA 71269
Phone (318) 303-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CIT-5752 | LA | Yes |
Addresses
Primary practice location
161 Comeaux Rd
Rayville, LA 71269-7554
Mailing address
161 Comeaux Rd
Rayville, LA 71269-7554
Phone (318) 303-5500
Other providers in Rayville, LA
- B and S Property Investments LLC
- B&L Dental, LLC
- Roy Franklin Baas
- Andrea Bailey
- Scott Wilson Baldelli
- Bayou MD, LC
- Loren B Beck
- Stewart Sheldon Bedillion
- Randy Bell
- Crystal Lynn Bennett
All providers in Rayville, LA · Addiction (Substance Use Disorder) 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 Feb 13, 2024. 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.