Healthcare Provider Details

I. General information

NPI: 1689945487
Provider Name (Legal Business Name): GIVING TREE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2012
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8235 YMCA PLAZA DRIVE SUITE 402
BATON ROUGE LA
70810-0939
US

IV. Provider business mailing address

8235 YMCA PLAZA DR SUITE 402
BATON ROUGE LA
70810-0939
US

V. Phone/Fax

Practice location:
  • Phone: 985-373-3634
  • Fax:
Mailing address:
  • Phone: 985-373-3634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3585
License Number StateLA

VIII. Authorized Official

Name: MISS MELISSA F DESFORGES
Title or Position: MANAGER
Credential: LPC,LMFT,RPT
Phone: 985-373-3634