Healthcare Provider Details

I. General information

NPI: 1295283000
Provider Name (Legal Business Name): GREATER YOU COUNSELING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 W AIRLINE HWY STE H
LA PLACE LA
70068-3817
US

IV. Provider business mailing address

PO BOX 8391
SHREVEPORT LA
71148-8391
US

V. Phone/Fax

Practice location:
  • Phone: 985-618-3403
  • Fax: 985-618-3404
Mailing address:
  • Phone: 985-618-3403
  • Fax: 985-618-3404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHARME THOMPSON
Title or Position: OWNER
Credential:
Phone: 318-219-6112