Provider Demographics
NPI:1609288810
Name:EXCEPTIONAL COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:EXCEPTIONAL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:318-346-6542
Mailing Address - Street 1:104 S SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:BUNKIE
Mailing Address - State:LA
Mailing Address - Zip Code:71322-1125
Mailing Address - Country:US
Mailing Address - Phone:318-346-6542
Mailing Address - Fax:318-346-6543
Practice Address - Street 1:109 CHEVY LN
Practice Address - Street 2:SUITE C
Practice Address - City:BUNKIE
Practice Address - State:LA
Practice Address - Zip Code:71322-1561
Practice Address - Country:US
Practice Address - Phone:318-346-6542
Practice Address - Fax:318-346-6543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)