| NPI | 1609142249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY L BENNETT Licensed Professional Counselor 985-345-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2890) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 891) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |