Provider Demographics
NPI:1659755833
Name:GILCHRIST COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:GILCHRIST COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GILCHRIST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:318-302-0457
Mailing Address - Street 1:PO BOX 52772
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71135-2772
Mailing Address - Country:US
Mailing Address - Phone:318-302-0457
Mailing Address - Fax:318-747-6971
Practice Address - Street 1:4859 SHED RD
Practice Address - Street 2:SUITE 500
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5492
Practice Address - Country:US
Practice Address - Phone:318-302-0457
Practice Address - Fax:318-747-6971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4556101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty