Healthcare Provider Details

I. General information

NPI: 1649537077
Provider Name (Legal Business Name): DURACARE COUNSELING & CONSULTING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 W AIRLINE HWY STE H
LA PLACE LA
70068-3817
US

IV. Provider business mailing address

429 W AIRLINE HWY STE H
LA PLACE LA
70068-3817
US

V. Phone/Fax

Practice location:
  • Phone: 504-327-5753
  • Fax: 504-327-5824
Mailing address:
  • Phone: 504-327-5753
  • Fax: 504-327-5824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number3955
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number3955
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number3955
License Number StateLA

VIII. Authorized Official

Name: WENDY QUIARA DURANT
Title or Position: CLINICAL DIRECTOR/CEO
Credential: LPC
Phone: 504-327-5753