Festervan, Laura Susanne

Festervan, Laura Susanne is an individual health care provider with primary practice located at 1505 Doctors Dr , Bossier City LA 71111-3321. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Festervan, Laura Susanne can be contacted via phone (318) 816-2771.

Contact Information

Primary practice address
1505 Doctors Dr Bossier City LA 71111-3321
Phone: (318) 816-2771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5525 Louisiana
Other Service Providers / Peer Specialist 175T00000X Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X 5525 Louisiana

Profile Details

NPI number 1922763275
LBN Legal business name Festervan, Laura Susanne
Credentials CIT,
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2021
Last updated Feb 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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