Healthcare Provider Details

I. General information

NPI: 1619632411
Provider Name (Legal Business Name): THERAPEACE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2021
Last Update Date: 09/17/2026
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1923 CORPORATE SQUARE DR. STE F
SLIDELL LA
70458-3162
US

IV. Provider business mailing address

1923 CORPORATE SQUARE DR. STE F
SLIDELL LA
70458-3162
US

V. Phone/Fax

Practice location:
  • Phone: 985-201-8829
  • Fax: 985-238-3577
Mailing address:
  • Phone: 985-201-8829
  • Fax: 985-238-3577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. SUNDRA L. WHITE
Title or Position: OWNER
Credential: LPC
Phone: 985-201-8829