Provider Demographics
NPI:1467772814
Name:FIRST COUNSEL, LLC
Entity Type:Organization
Organization Name:FIRST COUNSEL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BELLONE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:337-989-0933
Mailing Address - Street 1:1720 KALISTE SALOOM RD
Mailing Address - Street 2:SUITE C-8
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6137
Mailing Address - Country:US
Mailing Address - Phone:337-989-0933
Mailing Address - Fax:337-989-8458
Practice Address - Street 1:1720 KALISTE SALOOM RD
Practice Address - Street 2:SUITE C-8
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6137
Practice Address - Country:US
Practice Address - Phone:337-989-0933
Practice Address - Fax:337-989-8458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2184261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health