Organization Name: | HICKORY COUNSELING |
NPI Number: | 1730581489 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURIE SANCHEZ (OFFICE MANAGER) |
Mailing Address: | 190 Hickory Ave Ste. 11 Harahan |
State: | LA US |
Postal Code: | 701234068 |
Phone Number: | 5046154275 |
Fax Number: | 5043097845 |
NPI Enumeration Date: | 09/24/2014 |
NPI Last Update Date: | 09/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC4499 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |