Provider Demographics
NPI:1134676398
Name:DILLON COUNSELING & TRAUMA HEALING CENTER, LLC
Entity Type:Organization
Organization Name:DILLON COUNSELING & TRAUMA HEALING CENTER, LLC
Other - Org Name:DILLON COUNSELING SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHONELL
Authorized Official - Middle Name:LENISHA
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:504-333-2206
Mailing Address - Street 1:1411 S WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-6223
Mailing Address - Country:US
Mailing Address - Phone:504-259-5407
Mailing Address - Fax:
Practice Address - Street 1:7809 AIRLINE DR STE 200
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-6440
Practice Address - Country:US
Practice Address - Phone:504-333-2206
Practice Address - Fax:504-389-6219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty