Provider Demographics
NPI:1104479799
Name:FAMILIES FIRST COUNSELING AND WELLNESS, LLC
Entity type:Organization
Organization Name:FAMILIES FIRST COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE PRACTIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAYER-YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:318-560-8199
Mailing Address - Street 1:2940 LE OAKS DR APT 903
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-7854
Mailing Address - Country:US
Mailing Address - Phone:318-560-8199
Mailing Address - Fax:
Practice Address - Street 1:2020 HOLLYWOOD AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71108-3920
Practice Address - Country:US
Practice Address - Phone:318-560-8199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)