Healthcare Provider Details

I. General information

NPI: 1720901465
Provider Name (Legal Business Name): LAYERS & SPACE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 N MORRISON BLVD
HAMMOND LA
70401-2315
US

IV. Provider business mailing address

240 PUTTERS LN
SLIDELL LA
70460-5210
US

V. Phone/Fax

Practice location:
  • Phone: 504-264-1205
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: TREASURE CLEMONS
Title or Position: OWNER
Credential: LPC
Phone: 504-264-1205