Provider Demographics
NPI:1477094118
Name:TOUSSAINT, KIRSTEN NOELLE
Entity Type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:NOELLE
Last Name:TOUSSAINT
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KIRSTEN
Other - Middle Name:NOELLE
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 W BARNETT SPRINGS AVE
Mailing Address - Street 2:APT. 234
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-4894
Mailing Address - Country:US
Mailing Address - Phone:318-884-5777
Mailing Address - Fax:
Practice Address - Street 1:622 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-6211
Practice Address - Country:US
Practice Address - Phone:318-398-0945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor