Healthcare Provider Details

I. General information

NPI: 1932609344
Provider Name (Legal Business Name): GARLAND LYNETTE HENSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2018
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 PERCHERON DR
GRAND CANE LA
71032-6284
US

IV. Provider business mailing address

308 PERCHERON DR
GRAND CANE LA
71032-6284
US

V. Phone/Fax

Practice location:
  • Phone: 318-947-5898
  • Fax:
Mailing address:
  • Phone: 318-947-5898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: