MEDICARE: TRISHA WINN LPC

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	3689	LA
2	101YP2500X	Professional Counselor	3689	LA

General Provider Information

NPI Number	:	1548691181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHA WINN LPC

Provider Business Mailing Address
First Line	:	14606 STONEBERG AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-1390
Country	:	US
Telephone Number	:	225-316-2399
Fax Number	:

Provider Business Practice Location Address
First Line	:	11616 SOUTHFORK AVE STE 401
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-5241
Country	:	US
Telephone Number	:	225-291-9646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2013
Last Update Date	:	10/26/2022

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