Healthcare Provider Details

I. General information

NPI: 1386869576
Provider Name (Legal Business Name): MENTAL HEALTH OPTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2007
Last Update Date: 12/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42106 N HOOVER RD #A
PONCHATOULA LA
70454-4442
US

IV. Provider business mailing address

42106 N HOOVER RD #A
PONCHATOULA LA
70454-4442
US

V. Phone/Fax

Practice location:
  • Phone: 504-512-5351
  • Fax:
Mailing address:
  • Phone: 504-512-5351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KAREN ANN DAVIS
Title or Position: PRESIDENT/OWNER
Credential: PHD LPC LMFT
Phone: 504-512-5351