Individual provider · Type 1 NPI
Justin Park
Counselor · Prairieville, LA
NPI number
1356867477
Active
Practice location
37283 Swamp Rd Ste 803
Prairieville, LA 70769-3329
Fax (222) 208-7267
Mailing address
PO Box 640040
Pike Road, AL 36064-0040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4 other providers at this address
- Gulf Coast Behavioral Health, LLCSubstance Abuse Rehabilitation Facility Prairieville, LA NPI 1043956527
- Aaron Anderson, CSWSocial Worker Prairieville, LA NPI 1922999697
- Jessica Ezejimofor, PMHNPPsychiatric/Mental Health Nurse Practitioner Prairieville, LA NPI 1891500765
- Karl Winegar, LCSWClinical Social Worker Prairieville, LA NPI 1780138206
Other counselor providers in Prairieville
About NPI 1356867477
Justin Park's National Provider Identifier is 1356867477, issued on Aug 21, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Prairieville, LA. The record was last updated on Oct 23, 2025.