Provider Demographics
NPI:1861938987
Name:STRATEGIC COUNSELING SOLUTIONS L.L.C.
Entity type:Organization
Organization Name:STRATEGIC COUNSELING SOLUTIONS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:318-450-8719
Mailing Address - Street 1:2106 N 7TH ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-4445
Mailing Address - Country:US
Mailing Address - Phone:318-450-8719
Mailing Address - Fax:318-314-2158
Practice Address - Street 1:2106 N 7TH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-4445
Practice Address - Country:US
Practice Address - Phone:318-450-8719
Practice Address - Fax:318-314-2158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3814101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA600718776Medicaid