Healthcare Provider Details

I. General information

NPI: 1114836582
Provider Name (Legal Business Name): HEBERT COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 CANAL BLVD
THIBODAUX LA
70301-3408
US

IV. Provider business mailing address

PO BOX 501
THIBODAUX LA
70302-0501
US

V. Phone/Fax

Practice location:
  • Phone: 985-227-7133
  • Fax: 985-227-7133
Mailing address:
  • Phone: 985-227-7133
  • Fax: 985-227-7133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JILL HEBERT
Title or Position: OWNER
Credential: LPC
Phone: 985-859-4740