Self-Ish, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SELF-ISH, LLC

Practice address

4310 Ryan St Ste 134
Lake Charles, LA 70605-4514

Phone

(337) 873-1203

NPI assigned

Oct 24, 2021

Organization subpart

No

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

Authorized official

Name

Royce Charles

Title

Owner

Phone

(337) 873-1203

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1635033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1730843012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 RYAN ST STE 134",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054514",
            "telephone_number": "337-873-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 RYAN ST STE 134",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054514",
            "telephone_number": "337-873-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-ISH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-24",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "ROYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-873-1203"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Seffens, D.V.M.
• Ann Marie Seger, RN
• Kristin Segura, APRN, NP
• Julie Anne Selby, LPC
• Robert L Selders Sr., DDS
• Catherine Drez Self, CCC-A
• Selim Surgery Center, LLC
• Niazy Mahmoud Selim, MD, PHD, MBCHB, FACS
• John Selloriquez
• Angela Semien

• Counselor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.