Provider Demographics
NPI:1033863030
Name:AL-JOEL COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:AL-JOEL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONEEKA
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:318-538-8033
Mailing Address - Street 1:209 OREGON TRL
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71202-3721
Mailing Address - Country:US
Mailing Address - Phone:318-538-8033
Mailing Address - Fax:
Practice Address - Street 1:201 CENTURY VILLAGE BLVD STE 248
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2008
Practice Address - Country:US
Practice Address - Phone:318-750-2377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty