Healthcare Provider Details

I. General information

NPI: 1043648041
Provider Name (Legal Business Name): FAMILY SOLUTIONS COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2013
Last Update Date: 10/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 HUDSON LN
MONROE LA
71201-6066
US

IV. Provider business mailing address

1300 HUDSON LANE
MONROE LA
71201
US

V. Phone/Fax

Practice location:
  • Phone: 318-322-6500
  • Fax:
Mailing address:
  • Phone: 318-322-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number2401
License Number StateLA

VIII. Authorized Official

Name: DR. SCOTT A. SHELBY
Title or Position: DIRECTOR
Credential: LPC
Phone: 318-322-6500