Healthcare Provider Details

I. General information

NPI: 1437525805
Provider Name (Legal Business Name): JENNIFER RICHE PATTERSON LPC-S, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2015
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1918 MELROSE ST
PINEVILLE LA
71360-6153
US

IV. Provider business mailing address

619 EDGEWOOD DR
PINEVILLE LA
71360-4526
US

V. Phone/Fax

Practice location:
  • Phone: 318-506-2750
  • Fax:
Mailing address:
  • Phone: 318-506-2750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7098
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1464
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: