MEDICARE: COLORS OF COUNSELING & CONSULTING LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1275489668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORS OF COUNSELING & CONSULTING LLC

Provider Business Mailing Address
First Line	:	14234 LINDSAY DR
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70403-7628
Country	:	US
Telephone Number	:	504-345-9154
Fax Number	:

Provider Business Practice Location Address
First Line	:	14234 LINDSAY DR
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70403-7628
Country	:	US
Telephone Number	:	504-345-9154
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAVEZ JAVON PINESTRAW
Credential	:	LPC
Telephone Number	:	985-974-4972

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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