Healthcare Provider Details

I. General information

NPI: 1043834104
Provider Name (Legal Business Name): LYFE COUNSELING CONSULTATION & TRAINING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33847 NICOLE LN
DENHAM SPRINGS LA
70706-2048
US

IV. Provider business mailing address

PO BOX 40466
BATON ROUGE LA
70835-0466
US

V. Phone/Fax

Practice location:
  • Phone: 225-936-9383
  • Fax: 225-664-8772
Mailing address:
  • Phone: 225-936-9383
  • Fax: 225-662-8772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANNETTE SIAS TOUSSAINT
Title or Position: OWNER
Credential: LPC
Phone: 225-936-9383