Provider Demographics
NPI:1366853376
Name:ACADIAN COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:ACADIAN COUNSELING CENTER, LLC
Other - Org Name:ECOMIND COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:337-504-4974
Mailing Address - Street 1:850 KALISTE SALOOM RD STE 219
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-4230
Mailing Address - Country:US
Mailing Address - Phone:337-504-4974
Mailing Address - Fax:337-456-2434
Practice Address - Street 1:1904 W PINHOOK RD STE 203
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-8310
Practice Address - Country:US
Practice Address - Phone:337-492-6233
Practice Address - Fax:866-294-7020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4833101YM0800X
TX65319101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1225393200OtherINDIVIDUAL NPI # 1225393200