Healthcare Provider Details

I. General information

NPI: 1184562670
Provider Name (Legal Business Name): GRACIANA COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 KALISTE SALOOM RD BLDG SUITE116
LAFAYETTE LA
70508-4230
US

IV. Provider business mailing address

624 CAMBRIDGE DR
LAFAYETTE LA
70503-4380
US

V. Phone/Fax

Practice location:
  • Phone: 337-567-2728
  • Fax:
Mailing address:
  • Phone: 337-567-2728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: STEPHANIE LEDET GRACIANA
Title or Position: OWNER
Credential: LPC
Phone: 337-567-2728