Provider Demographics
NPI:1295514974
Name:SALUD COUNSELING CENTERS, LLC
Entity type:Organization
Organization Name:SALUD COUNSELING CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:INIGEZ-BOUZIANE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-216-4304
Mailing Address - Street 1:607 RONALD REAGAN DR UNIT 236
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-7710
Mailing Address - Country:US
Mailing Address - Phone:410-216-4304
Mailing Address - Fax:
Practice Address - Street 1:607 RONALD REAGAN DR UNIT 236
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-7710
Practice Address - Country:US
Practice Address - Phone:410-216-4304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty