Healthcare Provider Details

I. General information

NPI: 1407225352
Provider Name (Legal Business Name): RIKKI HUDSON PERMENTER PH.D., LPC-S,LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 HIGHWAY 63
CLINTON LA
70722-5716
US

IV. Provider business mailing address

1706 HIGHWAY 63
CLINTON LA
70722-5716
US

V. Phone/Fax

Practice location:
  • Phone: 225-218-7920
  • Fax:
Mailing address:
  • Phone: 225-218-7920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4802
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1186
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: