Provider Demographics
NPI:1194535773
Name:CHRIST CENTERED COUNSELING
Entity type:Organization
Organization Name:CHRIST CENTERED COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-739-3452
Mailing Address - Street 1:416 KILCHRIST RD
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-5118
Mailing Address - Country:US
Mailing Address - Phone:337-900-8793
Mailing Address - Fax:
Practice Address - Street 1:1001 W NORTHERN AVE
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-2639
Practice Address - Country:US
Practice Address - Phone:337-900-8793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty