Provider Demographics
NPI:1215415229
Name:THINKTREK LLC
Entity Type:Organization
Organization Name:THINKTREK LLC
Other - Org Name:CENTER FOR COUNSELING AND PSYCHOLOGICAL RESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR / SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTEMATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-675-9775
Mailing Address - Street 1:206 E REYNOLDS DR STE F2
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-2809
Mailing Address - Country:US
Mailing Address - Phone:318-675-9775
Mailing Address - Fax:318-688-2376
Practice Address - Street 1:206 E REYNOLDS DR STE F2
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-2809
Practice Address - Country:US
Practice Address - Phone:318-675-9775
Practice Address - Fax:318-688-2376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2023-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty