Samaritan Counseling Center of Imperial Calcasieu
NPI #1134279276 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1134279276
- Entity Type
- Organization
- Organization Name
- Samaritan Counseling Center of Imperial Calcasieu
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 833 HODGES ST
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-4247
- Phone
- (337) 433-4357
Authorized Official
- Name
- MRS. MICKEY RENTROP SHANNON, M.ED.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (337) 433-4357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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