Healthcare Provider Details

I. General information

NPI: 1316787955
Provider Name (Legal Business Name): PERCEPTIONS COUNSELING AND CONSULTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1619 SAMPSON ST STE B
WESTLAKE LA
70669-4013
US

IV. Provider business mailing address

1619 SAMPSON ST STE B
WESTLAKE LA
70669-4013
US

V. Phone/Fax

Practice location:
  • Phone: 337-915-0132
  • Fax:
Mailing address:
  • Phone: 337-915-0132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIIFANY A DUPRE
Title or Position: OWNER/PRESIDENT/COUNSELOR
Credential: MA, LPC
Phone: 337-915-0132