Healthcare Provider Details

I. General information

NPI: 1689044968
Provider Name (Legal Business Name): JESSICA REVE' MARCHAND LPC-S, LMFT-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 HUDSON LN STE 9
MONROE LA
71201-6054
US

IV. Provider business mailing address

1105 HUDSON LN
MONROE LA
71201-6003
US

V. Phone/Fax

Practice location:
  • Phone: 318-322-6500
  • Fax: 318-416-0141
Mailing address:
  • Phone: 318-322-6500
  • Fax: 318-322-5118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT1216
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5626
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: