Provider Demographics
NPI:1003142845
Name:RISE 'N'SHINE COUNSELING AGENCY
Entity Type:Organization
Organization Name:RISE 'N'SHINE COUNSELING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARDETRA
Authorized Official - Middle Name:LAWSHAWN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:225-323-5996
Mailing Address - Street 1:1724 N BURNSIDE AVE
Mailing Address - Street 2:SUITE # 7
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-2157
Mailing Address - Country:US
Mailing Address - Phone:225-644-8565
Mailing Address - Fax:
Practice Address - Street 1:1724 N BURNSIDE AVE
Practice Address - Street 2:SUITE # 7
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-2157
Practice Address - Country:US
Practice Address - Phone:225-644-8565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health