Resurrection Center of Louisiana

NPI #1144660028 in Shreveport, Louisiana

Provider Information

NPI Number: 1144660028
Entity Type: Organization
Organization Name: Resurrection Center of Louisiana
Primary Specialty: Counselor
Enumeration Date: Jun 25, 2013
Last Updated: Jun 25, 2013

Practice Location

Address: 515 E WASHINGTON ST
Address 2: SUITE B
City: Shreveport
State: Louisiana
ZIP Code: 71104-3658
Phone: (318) 455-7275

Authorized Official

Name: MS. OMISHA MICHELLE BANKS
Title: OWNER
Phone: (318) 455-7275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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