Provider Demographics
NPI:1194473934
Name:ROUSE CONSULTANTS, LLC
Entity Type:Organization
Organization Name:ROUSE CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:318-218-3920
Mailing Address - Street 1:425 ELMWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-5009
Mailing Address - Country:US
Mailing Address - Phone:318-218-3920
Mailing Address - Fax:318-666-2361
Practice Address - Street 1:425 ELMWOOD ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-5009
Practice Address - Country:US
Practice Address - Phone:318-218-3920
Practice Address - Fax:318-666-2361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty