Healthcare Provider Details

I. General information

NPI: 1811810518
Provider Name (Legal Business Name): YNWA COUNSELING & CLINICAL SUPERVISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 SAINT CHARLES ST
BATON ROUGE LA
70802-5735
US

IV. Provider business mailing address

147 SAINT CHARLES ST
BATON ROUGE LA
70802-5735
US

V. Phone/Fax

Practice location:
  • Phone: 225-412-3030
  • Fax:
Mailing address:
  • Phone: 225-412-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. HOLGER CHRISTIAN HEAP
Title or Position: OWNER/ COUNSELOR
Credential: PHD, LPC-S, NCC
Phone: 225-715-9255