2ND Chance Counseling
Organization Active NPI Professional Counselor · Thibodaux, LA
NPI 1992421671 · NPPES record last updated Oct 14, 2022
Key facts
- NPI
- 1992421671
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- 2ND CHANCE COUNSELING
- Practice address
- 316 Brandywine Blvd
Thibodaux, LA 70301-6157 - Phone
- (985) 413-5137
- NPI assigned
- Oct 14, 2022
- Organization subpart
- No
Authorized official
- Name
- Ms. Phylis B. Richard, LPC, M.ED.
- Title
- Provider
- Phone
- (985) 413-5137
Practitioners 1
-
Phylis B Richard, LPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
316 Brandywine Blvd
Thibodaux, LA 70301-6157
Mailing address
316 Brandywine Blvd
Thibodaux, LA 70301-6157
Phone (985) 413-5137
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- Jamarcus J Aaron
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All providers in Thibodaux, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.