1932823606 NPI number — GUIDED STEPS COUNSELING

Table of content: (NPI 1932823606)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932823606 NPI number — GUIDED STEPS COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GUIDED STEPS COUNSELING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932823606
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
42484 BLYTH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PONCHATOULA
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70454-5498
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-974-0429
Provider Business Mailing Address Fax Number:
504-294-8310

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
787 N 7TH ST STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PONCHATOULA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70454-3115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-974-0429
Provider Business Practice Location Address Fax Number:
504-294-8310
Provider Enumeration Date:
09/27/2022

Additional Information

Authorized Official

Authorized Official Last Name:
AINSWORTH
Authorized Official First Name:
TERRY
Authorized Official Middle Name:
COLLINS
Authorized Official Title or Position:
OWNER/THERAPIST
Authorized Official Telephone Number:
985-974-0429

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1144844804 . This is a "INDIVIDUAL NPI" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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