| Organization Name: | WINTERHAVEN PROFESSIONAL COUNSELING |
| NPI Number: | 1154629277 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DORIS A SMALL (OWNER) |
| Mailing Address: | 2342 Highway 6 Natchitoches |
| State: | LA US |
| Postal Code: | 714574968 |
| Phone Number: | 3182288801 |
| Fax Number: | 3182288803 |
| NPI Enumeration Date: | 03/14/2011 |
| NPI Last Update Date: | 03/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | 5785118-001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |