Provider Demographics
NPI:1508174863
Name:FIRST WEST COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:FIRST WEST COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELING CENTER DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERWIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LMFT
Authorized Official - Phone:318-322-1427
Mailing Address - Street 1:212 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-3120
Mailing Address - Country:US
Mailing Address - Phone:318-322-1427
Mailing Address - Fax:318-322-1477
Practice Address - Street 1:212 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-3120
Practice Address - Country:US
Practice Address - Phone:318-322-1427
Practice Address - Fax:318-322-1477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health