Healthcare Provider Details

I. General information

NPI: 1437080108
Provider Name (Legal Business Name): COMPASSION AND GRACE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2285 BENTON RD STE D201E
BOSSIER CITY LA
71111-7933
US

IV. Provider business mailing address

2285 BENTON RD STE D201E
BOSSIER CITY LA
71111-7933
US

V. Phone/Fax

Practice location:
  • Phone: 318-524-8399
  • Fax: 318-524-8399
Mailing address:
  • Phone: 318-524-8399
  • Fax: 318-524-8399

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: MS. JONETTE PERETIK
Title or Position: OWNER, THERAPIST
Credential: LPC
Phone: 318-524-8399