=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174331987
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SENSE OF SELF COUNSELING THERAPY AND CONSULTATION SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/26/2024
-----------------------------------------------------
Last Update Date | 12/26/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3419 NW EVANGELINE TRWY
-----------------------------------------------------
City | CARENCRO
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70520-6241
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-831-9709
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3419 NW EVANGELINE TRWY
-----------------------------------------------------
City | CARENCRO
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70520-6241
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-831-9709
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | TORREN CHAVON LAFLEUR
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 337-831-9709
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------