Provider Demographics
NPI:1619415601
Name:CREDEUR COUNSELING LLC
Entity Type:Organization
Organization Name:CREDEUR COUNSELING LLC
Other - Org Name:MAGGIE SHAVER, LCSW, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:CREDEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-308-1052
Mailing Address - Street 1:10431 SIEGEN LN
Mailing Address - Street 2:103
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-4984
Mailing Address - Country:US
Mailing Address - Phone:225-308-1052
Mailing Address - Fax:225-767-7789
Practice Address - Street 1:10431 SIEGEN LN
Practice Address - Street 2:103
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-4984
Practice Address - Country:US
Practice Address - Phone:225-308-1052
Practice Address - Fax:225-767-7789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2019-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA124091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty