Provider Demographics
NPI:1376978114
Name:MARTIN'S CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:MARTIN'S CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-BACS
Authorized Official - Phone:225-207-5139
Mailing Address - Street 1:717 S FOSTER DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-5943
Mailing Address - Country:US
Mailing Address - Phone:225-207-5139
Mailing Address - Fax:126-793-5784
Practice Address - Street 1:717 S FOSTER DR
Practice Address - Street 2:SUITE 140
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-5943
Practice Address - Country:US
Practice Address - Phone:225-207-5139
Practice Address - Fax:126-793-5784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty