Provider Demographics
NPI:1710169412
Name:ANOTHER CHANCE INC
Entity Type:Organization
Organization Name:ANOTHER CHANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LAVERNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC LMFT
Authorized Official - Phone:318-992-2730
Mailing Address - Street 1:PO BOX 2027
Mailing Address - Street 2:
Mailing Address - City:JENA
Mailing Address - State:LA
Mailing Address - Zip Code:71342-2730
Mailing Address - Country:US
Mailing Address - Phone:318-992-2730
Mailing Address - Fax:318-992-2730
Practice Address - Street 1:1884 N 1ST STREET
Practice Address - Street 2:
Practice Address - City:JENA
Practice Address - State:LA
Practice Address - Zip Code:71342-2730
Practice Address - Country:US
Practice Address - Phone:318-992-2730
Practice Address - Fax:318-992-2730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1851101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty