Provider Demographics
NPI:1588960918
Name:EMMANUEL COUNSELING SERVICES
Entity type:Organization
Organization Name:EMMANUEL COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:LEROUX
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPC
Authorized Official - Phone:337-485-9564
Mailing Address - Street 1:2409 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-0100
Mailing Address - Country:US
Mailing Address - Phone:337-485-9564
Mailing Address - Fax:337-905-0669
Practice Address - Street 1:2409 2ND ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-0100
Practice Address - Country:US
Practice Address - Phone:337-485-9564
Practice Address - Fax:337-905-0669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA295101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty