Nastashia Hicks

Individual provider Active NPI Mental Health Counselor · New Roads, LA

NPI 1114398781 · NPPES record last updated Oct 8, 2015

Key facts

NPI
1114398781
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
120 N Carolina St
New Roads, LA 70760-3604
Phone
(225) 638-8449
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

120 N Carolina St
New Roads, LA 70760-3604

Mailing address

PO Box 872
Maringouin, LA 70757-0872
Phone (225) 262-9166

Other providers in New Roads, LA

All providers in New Roads, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.