Provider Demographics
NPI:1194472753
Name:SOLUTIONS COUNSELING & EMPLOYEE ASSISTANCE PROGRAM
Entity type:Organization
Organization Name:SOLUTIONS COUNSELING & EMPLOYEE ASSISTANCE PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KERI
Authorized Official - Middle Name:
Authorized Official - Last Name:FORBESS-MCCORQUODALE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, LMFT
Authorized Official - Phone:337-310-2822
Mailing Address - Street 1:PO BOX 3126
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70602-3126
Mailing Address - Country:US
Mailing Address - Phone:337-310-2822
Mailing Address - Fax:337-493-3300
Practice Address - Street 1:400 7TH ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-6007
Practice Address - Country:US
Practice Address - Phone:337-310-2822
Practice Address - Fax:337-493-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1871181859OtherNPI
LA1366421828OtherNPI
LA1841806296OtherNPI