Provider Demographics
NPI:1336779461
Name:BAREFOOT COUNSELING, LLC
Entity type:Organization
Organization Name:BAREFOOT COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAILLOUX JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, LAC
Authorized Official - Phone:985-464-9985
Mailing Address - Street 1:311 SCOTCHPINE DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-2548
Mailing Address - Country:US
Mailing Address - Phone:504-444-4571
Mailing Address - Fax:
Practice Address - Street 1:400 MARINERS PLAZA DR STE 408F
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-4797
Practice Address - Country:US
Practice Address - Phone:985-464-9985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty