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NPI Code Detail

MEDICARE: BEYOND THE CROSSROADS COUNSELING CENTER

MEDICARE: BEYOND THE CROSSROADS COUNSELING CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1417503723
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEYOND THE CROSSROADS COUNSELING CENTER
Provider Business Mailing Address
First Line : 3321 YOUREE DR STE E
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-2123
Country : US
Telephone Number : 318-219-4100
Fax Number : 318-219-4108
Provider Business Practice Location Address
First Line : 3321 YOUREE DR STE E
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-2123
Country : US
Telephone Number : 318-219-4100
Fax Number : 318-219-4108
Authorized Official
Title or Position : OWNER
Name : VERONICA TRAHAN
Credential : LPC
Telephone Number : 318-219-4100
Provider Enumeration Date : 08/13/2019
Last Update Date : 03/16/2026

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Directions to “BEYOND THE CROSSROADS COUNSELING CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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