Healthcare Provider Details

I. General information

NPI: 1588930135
Provider Name (Legal Business Name): EN CHRISTO COUNSELING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 03/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 C M FAGAN DR STE A3
HAMMOND LA
70403-6056
US

IV. Provider business mailing address

906 C M FAGAN DR STE A3
HAMMOND LA
70403-6056
US

V. Phone/Fax

Practice location:
  • Phone: 985-345-8363
  • Fax: 985-345-8360
Mailing address:
  • Phone: 985-345-8363
  • Fax: 985-345-8360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number113
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number653
License Number StateLA

VIII. Authorized Official

Name: MRS. DEBBIE D ADKINS
Title or Position: CREDENTIALING/BILLING-MENTAL HEALTH
Credential:
Phone: 985-662-5164