Provider Demographics
NPI:1689945487
Name:GIVING TREE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:GIVING TREE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:F
Authorized Official - Last Name:DESFORGES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC,LMFT,RPT
Authorized Official - Phone:985-373-3634
Mailing Address - Street 1:8235 YMCA PLAZA DR
Mailing Address - Street 2:SUITE 402
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-0939
Mailing Address - Country:US
Mailing Address - Phone:985-373-3634
Mailing Address - Fax:
Practice Address - Street 1:8235 YMCA PLAZA DRIVE
Practice Address - Street 2:SUITE 402
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-0939
Practice Address - Country:US
Practice Address - Phone:985-373-3634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3585101YM0800X
1041S0200X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty