Healthcare Provider Details

I. General information

NPI: 1114726726
Provider Name (Legal Business Name): GEAUX INSPIRE COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2025
Last Update Date: 05/03/2025
Certification Date: 05/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 HICKORY ST
NEW LLANO LA
71461-9733
US

IV. Provider business mailing address

718 HICKORY ST
NEW LLANO LA
71461-9733
US

V. Phone/Fax

Practice location:
  • Phone: 337-378-8379
  • Fax:
Mailing address:
  • Phone: 337-378-8379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KENYON MARTIN
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential:
Phone: 337-378-8379