| Melda-claude Professional Counseling Center, Inc. | |
|
425 W Airline Hwy Ste D Upper La Place LA 70068-3825 | |
| (985) 652-2052 | |
| (225) 869-8049 |
| Full Name | Melda-claude Professional Counseling Center, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 425 W Airline Hwy Ste D Upper, La Place, Louisiana |
| Authorized Official Name and Position | Judy Ann Petit (CLINICAL COUNSELOR) |
| Authorized Official Contact | 9856522052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melda-claude Professional Counseling Center, Inc. 425 W Airline Hwy Ste D Upper La Place LA 70068-3825 Ph: (985) 652-2052 | Melda-claude Professional Counseling Center, Inc. 425 W Airline Hwy Ste D Upper La Place LA 70068-3825 Ph: (985) 652-2052 |
| NPI Number | 1619004397 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 09/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619004397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC 1963 (Louisiana) | Primary |
| 106H00000X | Marriage & Family Therapist | LMFT 247 (Louisiana) | Secondary |
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