| Organization Name: | CYPRESS CENTER FOR COUNSELING, LLC |
| NPI Number: | 1063889137 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTIAN JOSE DEAN (CO-OWNER) |
| Mailing Address: | 38384 Highway 42 Suite B Prairieville |
| State: | LA US |
| Postal Code: | 707694011 |
| Phone Number: | 2253136716 |
| Fax Number: | 2253136721 |
| NPI Enumeration Date: | 08/25/2015 |
| NPI Last Update Date: | 08/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 2772 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |