Basic Information
| Provider Information | |||||||||
| NPI: | 1366992703 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ASNSION COUNSELING CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 150 RUE DUBOURG | ||||||||
| Address2: | |||||||||
| City: | LAPLACE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2254501166 | ||||||||
| FaxNumber: | 2254501153 | ||||||||
| Practice Location | |||||||||
| Address1: | 1112A EAST ASCENSION COMPLEX | ||||||||
| Address2: | |||||||||
| City: | GONZALES | ||||||||
| State: | LA | ||||||||
| PostalCode: | 707370000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2254501159 | ||||||||
| FaxNumber: | 2254501153 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2016 | ||||||||
| LastUpdateDate: | 10/10/2016 | ||||||||
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| AuthorizedOfficialLastName: | HAMILTON | ||||||||
| AuthorizedOfficialFirstName: | SUZANNE | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2254501159 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor |
No ID Information.