MEDICARE: OAK AND STONE COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1265253611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK AND STONE COUNSELING LLC

Provider Business Mailing Address
First Line	:	103 QUIET BLUFF DR
Second Line	:
City	:	YOUNGSVILLE
State	:	LA
Zip	:	70592-5980
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 W PINHOOK RD STE 108J
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-3100
Country	:	US
Telephone Number	:	337-393-0457
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRIANNE COLLINS
Credential	:
Telephone Number	:	337-349-5791

Provider Enumeration Date	:	10/18/2024
Last Update Date	:	05/26/2026

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