Healthcare Provider Details

I. General information

NPI: 1386583730
Provider Name (Legal Business Name): L.O.U.D. LIVE OUT UR DREAMS COUNSELING AND CONSULTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3211 STOWERS DR
MONROE LA
71201-1945
US

IV. Provider business mailing address

3211 STOWERS DR
MONROE LA
71201-1945
US

V. Phone/Fax

Practice location:
  • Phone: 318-789-9005
  • Fax:
Mailing address:
  • Phone: 318-789-9005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. MELANIE JAMES BOOSE
Title or Position: OWNER/CEO
Credential: LAC
Phone: 318-789-9005