Provider Demographics
NPI:1477141877
Name:LOPEZ SOLUTIONS COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:LOPEZ SOLUTIONS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:337-201-5051
Mailing Address - Street 1:108 ROCKY RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-6363
Mailing Address - Country:US
Mailing Address - Phone:337-201-5051
Mailing Address - Fax:337-227-6341
Practice Address - Street 1:203 W MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-3795
Practice Address - Country:US
Practice Address - Phone:337-201-5051
Practice Address - Fax:337-227-6341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty