Provider Demographics
NPI:1184342909
Name:H.E.R. COUNSELING AND CLINICAL SERVICES
Entity type:Organization
Organization Name:H.E.R. COUNSELING AND CLINICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REKISHA
Authorized Official - Middle Name:ROSHELA
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:318-347-5843
Mailing Address - Street 1:843 ASCALON ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-5201
Mailing Address - Country:US
Mailing Address - Phone:318-347-5843
Mailing Address - Fax:318-300-1196
Practice Address - Street 1:3000 KNIGHT ST STE 305
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2566
Practice Address - Country:US
Practice Address - Phone:318-266-7602
Practice Address - Fax:310-300-1196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health