MEDICARE: LYFE COUNSELING CONSULTATION & TRAINING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1043834104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYFE COUNSELING CONSULTATION & TRAINING

Provider Business Mailing Address
First Line	:	PO BOX 40466
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70835-0466
Country	:	US
Telephone Number	:	225-936-9383
Fax Number	:	225-662-8772

Provider Business Practice Location Address
First Line	:	33847 NICOLE LN
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70706-2048
Country	:	US
Telephone Number	:	225-936-9383
Fax Number	:	225-664-8772

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ANNETTE SIAS TOUSSAINT
Credential	:	LPC
Telephone Number	:	225-936-9383

Provider Enumeration Date	:	06/04/2020
Last Update Date	:	10/18/2021

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