Organization · Type 2 NPI
Creator Destiny LLC
Professional Counselor · Kenner, LA
NPI number
1669861043
Active
Practice location
503 E Loyola Dr
Kenner, LA 70065-4119
Mailing address
PO Box 2353
Kenner, LA 70063-2353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 4469 (LA) |
| Professional Counselor Primary | 101YP2500X | 4469 (LA) |
| Community/Behavioral Health Agency | 251S00000X | 4469 (LA) |
| Preferred Provider Organization | 305R00000X | 4469 (LA) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Kenner
About NPI 1669861043
Creator Destiny LLC's National Provider Identifier is 1669861043, issued on Jan 22, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kenner, LA. The record was last updated on Mar 9, 2015.