MEDICARE: CENTER FOR PERSONAL DEVELOPMENT INC

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
1	251S00000X	Community/Behavioral Health Agency	7268	LA
2	251S00000X	Community/Behavioral Health Agency	1011967	LA
3	251S00000X	Community/Behavioral Health Agency	7300	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700073145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR PERSONAL DEVELOPMENT INC

Provider Business Mailing Address
First Line	:	PO BOX 4381
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71211-4381
Country	:	US
Telephone Number	:	318-512-1257
Fax Number	:	318-343-4393

Provider Business Practice Location Address
First Line	:	1701 LAMY LN
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-3737
Country	:	US
Telephone Number	:	318-329-0240
Fax Number	:	318-329-0239

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LORIA S PIERCE
Credential	:	LMFT
Telephone Number	:	318-512-1257

Provider Enumeration Date	:	10/01/2007
Last Update Date	:	10/29/2024

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Directions to “CENTER FOR PERSONAL DEVELOPMENT INC ” Practice Location

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