Healthcare Provider Details

I. General information

NPI: 1861831943
Provider Name (Legal Business Name): TAMI HEFLIN COUNSELING SERVICES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 06/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 AVENUE OF AMERICA
MONROE LA
71201-4530
US

IV. Provider business mailing address

1818 AVENUE OF AMERICA
MONROE LA
71201-4530
US

V. Phone/Fax

Practice location:
  • Phone: 318-998-2700
  • Fax:
Mailing address:
  • Phone: 318-998-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2308
License Number StateLA

VIII. Authorized Official

Name: MS. TAMI HEFLIN
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: M.S., S.S.P.
Phone: 318-998-2700