| NPI | 1992156079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN LAVAR LEE Owner 225-772-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101Y00000X Counselor | |
| 363L00000X Nurse Practitioner | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103TH0004X Psychologist Health | |
| 103TH0100X Psychologist Health Service | |
| 364SP0810X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Family (Licence: LA AP08070) | |
| 364S00000X Clinical Nurse Specialist (Licence: LA AP08070) | |
| 364SF0001X Clinical Nurse Specialist Family Health (Licence: LA AP08070) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA AP08070) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-11-11 |