Provider Demographics
NPI:1376180059
Name:TESTIMONIAL COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:TESTIMONIAL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIANNE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:504-610-3011
Mailing Address - Street 1:1901 MANHATTAN BLVD STE 208
Mailing Address - Street 2:BUILDING D
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3582
Mailing Address - Country:US
Mailing Address - Phone:504-610-3011
Mailing Address - Fax:
Practice Address - Street 1:1901 MANHATTAN BLVD STE 208
Practice Address - Street 2:BUILDING D
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-3582
Practice Address - Country:US
Practice Address - Phone:504-610-3011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty