Provider Demographics
NPI:1437728276
Name:SOPHROSYNE COUNSELING SERVICES
Entity Type:Organization
Organization Name:SOPHROSYNE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARLESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-454-2111
Mailing Address - Street 1:39307 MAGAZINE AVE
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-6550
Mailing Address - Country:US
Mailing Address - Phone:225-454-2111
Mailing Address - Fax:
Practice Address - Street 1:301 MAIN ST STE 2200
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70801-0014
Practice Address - Country:US
Practice Address - Phone:225-297-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty