Provider Demographics
NPI:1326409491
Name:SUPERIOR COUNSELING
Entity Type:Organization
Organization Name:SUPERIOR COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MHS
Authorized Official - Prefix:
Authorized Official - First Name:MARTIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-368-9118
Mailing Address - Street 1:1108 STERLINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-3812
Mailing Address - Country:US
Mailing Address - Phone:318-368-9118
Mailing Address - Fax:
Practice Address - Street 1:1108 STERLINGTON HWY
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-3812
Practice Address - Country:US
Practice Address - Phone:318-368-9118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health