| NPI | 1336779461 |
|---|---|
| Former Legal Business Name | REGINA GILLESPIE MAILLOUX |
| Entity Type | Organization |
| Authorized Contact | REGINA MAILLOUX JENSEN Owner/Therapist 985-464-9985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2025-09-18 |