Provider Demographics
NPI:1285251785
Name:GOOD NEWS COUNSELING
Entity type:Organization
Organization Name:GOOD NEWS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.I.T.
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:COMANCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-789-9910
Mailing Address - Street 1:1010 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5513
Mailing Address - Country:US
Mailing Address - Phone:318-855-4509
Mailing Address - Fax:318-855-4372
Practice Address - Street 1:1010 N 9TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5513
Practice Address - Country:US
Practice Address - Phone:318-855-4509
Practice Address - Fax:318-855-4372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-30
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No276400000XHospital UnitsRehabilitation, Substance Use Disorder UnitGroup - Single Specialty
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility