| NPI | 1528689213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L TALBERT Credentialing Manager 337-855-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2024-12-10 |