Healthcare Provider Details

I. General information

NPI: 1134811748
Provider Name (Legal Business Name): CONSTANCE ANN GEASON-HOLMES PSYD, LPCT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CONSTANCE ANN GEASON PSYD, LPCT

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 06/05/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58900 APRIL LANE
PLAQUEMINE LA
70764
US

IV. Provider business mailing address

58900 APRIL LANE
PLAQUEMINE LA
70764
US

V. Phone/Fax

Practice location:
  • Phone: 225-776-4222
  • Fax:
Mailing address:
  • Phone: 225-776-4222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCG229705
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: