Assured Behavioral Concepts

NPI 1104168566 - Counselor - 101YP2500X

NPI Details
NPI 1104168566
Enumeration Date 03/25/2013
Last Updated 03/25/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KRISTAL KRISTAL
Position DIRECTOR
Phone (318) 572-3354
Fax (318) 688-2973
Practice Location
2912 VALLEY VIEW DR
SHREVEPORT LA, 71108-4934, US
Phone (318) 572-3354
Fax (318) 688-2973
Business Location
8210 LUCILLE ST
SHREVEPORT LA, 71108-5808, US
Phone (318) 572-3354
Fax (318) 688-2973
Toxanomy
Taxonomy Code 101YP2500X
License State Louisiana
License Number 4174
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According to our database, Assured Behavioral Concepts NPI is 1104168566, taxonomy code is 101YP2500X and license number is 4174, license state is located at Louisiana. Assured Behavioral Concepts physically located at 2912 Valley View Dr, Shreveport LA, 71108-4934. NPI Number 1033115704 has the healthcare provider type.

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1104168566 NPI number is provided on an as is basis without warranty of any kind. 1104168566 is maintained by the National Plan & Provider Enumeration System. The contents of Assured Behavioral Concepts are for informational purposes only.