MEDICARE: ANNETTE TOUSSAINT NCC

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	101YM0800X	Mental Health Counselor
2	171M00000X	Case Manager/Care Coordinator		LA
3	101YP2500X	Professional Counselor	7169	LA

General Provider Information

NPI Number	:	1477067676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE TOUSSAINT NCC

Provider Business Mailing 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

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	:	225-302-5506

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2017
Last Update Date	:	09/25/2021

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