Organization Name: | DELAVALLADE HOUSE OF PINEVILLE, LLC |
NPI Number: | 1295105872 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VONCILLE L DELAVALLADE (OWNER) |
Mailing Address: | 1312 Jeannie St Suite A Pineville |
State: | LA US |
Postal Code: | 713605340 |
Phone Number: | 5042566196 |
Fax Number: | 3184430429 |
NPI Enumeration Date: | 09/25/2015 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |