Healthcare Provider Details
I. General information
NPI: 1427987221
Provider Name (Legal Business Name): MIS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
312 S JEFFERSON AVE STE D2
COVINGTON LA
70433-3169
US
IV. Provider business mailing address
312 S JEFFERSON AVE STE D2
COVINGTON LA
70433-3169
US
V. Phone/Fax
- Phone: 985-685-9935
- Fax:
- Phone: 985-685-9935
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
RUSH
Title or Position: OWNER/CLINICIAN
Credential: PSYD, LPC, LMFT
Phone: 985-685-9935