Provider Demographics
NPI:1932565058
Name:TENDER KARE COUNSELING
Entity Type:Organization
Organization Name:TENDER KARE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KSY
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:CAESAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:318-639-9543
Mailing Address - Street 1:215 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-3363
Mailing Address - Country:US
Mailing Address - Phone:318-639-9543
Mailing Address - Fax:318-639-9544
Practice Address - Street 1:215 MAIN ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3363
Practice Address - Country:US
Practice Address - Phone:318-639-9543
Practice Address - Fax:318-639-9544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA003986188251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health