Provider Demographics
NPI:1528438439
Name:TENDER KARE COUNSELING AGENCY
Entity type:Organization
Organization Name:TENDER KARE COUNSELING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:CAESAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:318-465-1937
Mailing Address - Street 1:215 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LOUISIANA
Mailing Address - Zip Code:71055
Mailing Address - Country:UM
Mailing Address - Phone:318-465-1937
Mailing Address - Fax:
Practice Address - Street 1:215 MAIN ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3363
Practice Address - Country:US
Practice Address - Phone:318-465-1937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health