Change & Healing in Counseling Specialty Group, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64973 Issued in TX

Legal business name

CHANGE & HEALING IN COUNSELING SPECIALTY GROUP, LLC

Practice address

1125 Elliot Loop
Saint Martinville, LA 70582

Phone

(281) 686-3149

NPI assigned

Feb 11, 2014

Last updated

Feb 11, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kayla Pickney, LPC

Title

Executive Director

Phone

(281) 686-3149

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1306260385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 ELLIOT LOOP",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705827212",
            "telephone_number": "281-686-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 ELLIOT LOOP",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "70582",
            "telephone_number": "281-686-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE & HEALING IN COUNSELING SPECIALTY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "PICKNEY",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-686-3149",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312622901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Saint Martinville, LA
• Providers in Saint Martinville, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.