| NPI | 1366273385 |
|---|---|
| Former Legal Business Name | CHRISTINA THIBODEAUX, LPC, PA |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SPEYRER THIBODEAUX President 337-849-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |