Healthcare Provider Details

I. General information

NPI: 1154791291
Provider Name (Legal Business Name): DEBHORA SINGLETON LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2015
Last Update Date: 09/30/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8706 JEFFERSON HWY STE A
BATON ROUGE LA
70809-2233
US

IV. Provider business mailing address

14099 TWIN LAKES DR
PRAIRIEVILLE LA
70769-4439
US

V. Phone/Fax

Practice location:
  • Phone: 225-926-9706
  • Fax: 225-926-9708
Mailing address:
  • Phone: 225-926-9706
  • Fax: 225-926-9708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2954
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1014
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: