NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1013363654 |   |   |   | SOURCE OF SOLUTIONS COUNSELING SERVICE, LLC | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1053835033 | AUTRY | KIMBERLY |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1417494147 | BREEDLOVE | KECHIA |   |   | 2285 BENTON RD | BOSSIER CITY | LA | 711117933 |
1346783180 | CARTER | BRYON |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1528781507 | CHAMBERS | LATASHA |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1700401619 | COKER | AARON |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1174019079 | COOK | JOHN |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1477005221 | FOSTER | ROSHANDA |   |   | 2285 BENTON RD | BOSSIER CITY | LA | 711117933 |
1295260586 | GAFFORD | PAMELA |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1720566789 | HALBROOK | RACHEL | ELIZABETH |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1093273948 | HARRIS | GAYSHA | BRIELLE |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1982190880 | HILL | AMY |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1053853754 | IVY | KESHA |   |   | 2285 BENTON RD | BOSSIER CITY | LA | 711117933 |
1649766544 | JACKSON | RHONDA |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1003431917 | JERNIGAN | KATHERINE |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1124503230 | MCKINLEY | SHANIQUA |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1346697604 | OLIVER | ROY |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1023765534 | RICHMOND | CHARISSA |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1871191502 | ROBINSON | DASIA |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1912419896 | SCOTT | ANGELA |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1134747645 | STUMON | WARREN | P |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1861944613 | TAYLOR | RAQUEL |   |   | 2285 BENTON RD | BOSSIER CITY | LA | 711117933 |
1285177956 | WHITE | VALERIE |   |   | 8506 MEADOW PARKWAY DR | SHREVEPORT | LA | 711085330 |
1689116584 | WILLIAMS | DAPHANIE |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1649825316 | WILLIAMS | TORRY |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |
1982141610 | WILSON | JEANNIE |   |   | 2285 BENTON RD | BOSSIER CITY | LA | 711117933 |
1194258368 | WILSON | MONICA |   |   | 2285 BENTON RD | BOSSIER CITY | LA | 711117933 |
1548913437 | YOUNG | DANNY |   |   | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |