Provider Demographics
NPI:1245588292
Name:JODI VALENTINE COUNSELING, INC
Entity Type:Organization
Organization Name:JODI VALENTINE COUNSELING, INC
Other - Org Name:N/A
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSMEIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-737-7407
Mailing Address - Street 1:407 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-4107
Mailing Address - Country:US
Mailing Address - Phone:318-737-7407
Mailing Address - Fax:318-737-7417
Practice Address - Street 1:407 N 7TH ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-4107
Practice Address - Country:US
Practice Address - Phone:318-737-7407
Practice Address - Fax:318-737-7417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-23
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3592251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health