| Doctor Name: | JOSHUA BOURGEOIS |
| NPI Number: | 1184090425 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.ED., PLPC, NCC |
| License Number: | PLPC#5876 |
| Business Practice Address: | 115 Keating Dr Belle Chasse, LA - 700371629 |
| Business Phone Number: | 5043935750 |
| Business Fax Number: | 5043935760 |
| Mailing Address: | 115 Keating Dr, BELLE CHASSE |
| State: | LA |
| Postal Code: | 700371629 |
| Phone Number: | 5043935750 |
| Fax Number: | 5043935760 |
| NPI Enumeration Date: | 08/20/2015 |
| NPI Last Update Date: | 08/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PLPC#5876 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |