Provider Demographics
NPI:1043834104
Name:LYFE COUNSELING CONSULTATION & TRAINING
Entity Type:Organization
Organization Name:LYFE COUNSELING CONSULTATION & TRAINING
Other - Org Name:LYFE COUNSELING CONSULTATION & TRAINING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:SIAS
Authorized Official - Last Name:TOUSSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:225-936-9383
Mailing Address - Street 1:PO BOX 40466
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70835-0466
Mailing Address - Country:US
Mailing Address - Phone:225-936-9383
Mailing Address - Fax:225-662-8772
Practice Address - Street 1:33847 NICOLE LN
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70706-2048
Practice Address - Country:US
Practice Address - Phone:225-936-9383
Practice Address - Fax:225-664-8772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty