Provider Demographics
NPI:1588963821
Name:PERKINS, GERRA (PHD, LPC-S, RPT, NCC)
Entity type:Individual
Prefix:DR
First Name:GERRA
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:PHD, LPC-S, RPT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 WILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5200
Mailing Address - Country:US
Mailing Address - Phone:318-352-5227
Mailing Address - Fax:
Practice Address - Street 1:1030 WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5200
Practice Address - Country:US
Practice Address - Phone:318-352-5227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2950101YM0800X, 101YP2500X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool