Healthcare Provider Details

I. General information

NPI: 1891224580
Provider Name (Legal Business Name): CAYCEE CHAYNE TERRELL-VINING M.ED., LPC, NCC, DCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

399 SAW GRASS LOOP
COVINGTON LA
70435-7007
US

IV. Provider business mailing address

399 SAW GRASS LOOP
COVINGTON LA
70435-7007
US

V. Phone/Fax

Practice location:
  • Phone: 985-215-1846
  • Fax:
Mailing address:
  • Phone: 985-215-1846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8671330
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5487
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number96917
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-MN-826
License Number StateMN
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12557-125
License Number StateWI
# 6
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-OH-827
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: