=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437966637
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COUNSELING THROUGH VISION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2024
-----------------------------------------------------
Last Update Date | 12/12/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 399 SAW GRASS LOOP
-----------------------------------------------------
City | COVINGTON
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70435-7007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-215-1846
-----------------------------------------------------
Fax | 985-202-5571
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 201 SAINT CHARLES AVENUE, STE 114 PMB 576
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70170-0114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-323-4677
-----------------------------------------------------
Fax | 985-202-5571
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/LPC
-----------------------------------------------------
Name | CAYCEE C TERRELL-VINING
-----------------------------------------------------
Credential | LPC, NCC
-----------------------------------------------------
Telephone | 985-215-1846
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------