Provider Demographics
NPI:1316667447
Name:AMOND FAMILY COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:AMOND FAMILY COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:RACHAEL
Authorized Official - Last Name:AMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:225-295-9379
Mailing Address - Street 1:5516 SUPERIOR DR STE B
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-8022
Mailing Address - Country:US
Mailing Address - Phone:225-295-9379
Mailing Address - Fax:225-295-9379
Practice Address - Street 1:5516 SUPERIOR DR STE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8022
Practice Address - Country:US
Practice Address - Phone:225-295-9379
Practice Address - Fax:225-295-9379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty