| NPI | 1588930135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE D ADKINS Credentialing/Billing Mental Health 985-662-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 113) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 653) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |