Provider Demographics
NPI:1063536316
Name:THE COUNSELING CENTER
Entity type:Organization
Organization Name:THE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLAIM
Authorized Official - Middle Name:R
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:BCSAC
Authorized Official - Phone:337-233-1111
Mailing Address - Street 1:334 E FARREL RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7182
Mailing Address - Country:US
Mailing Address - Phone:337-908-9995
Mailing Address - Fax:337-989-9902
Practice Address - Street 1:334 E FARREL RD
Practice Address - Street 2:SUITE E
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7182
Practice Address - Country:US
Practice Address - Phone:337-908-9995
Practice Address - Fax:337-989-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA308101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========OtherOUT PATIENT COUNSELING