Healthcare Provider Details

I. General information

NPI: 1285251785
Provider Name (Legal Business Name): GOOD NEWS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N 9TH ST
MONROE LA
71201-5513
US

IV. Provider business mailing address

1010 N 9TH ST
MONROE LA
71201-5513
US

V. Phone/Fax

Practice location:
  • Phone: 318-855-4509
  • Fax: 318-855-4372
Mailing address:
  • Phone: 318-855-4509
  • Fax: 318-855-4372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. CRAIG COMANCHE
Title or Position: C.I.T.
Credential:
Phone: 318-789-9910