Provider Demographics
NPI:1710364146
Name:FLIP MY FROWN COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:FLIP MY FROWN COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCHERELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONET
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:225-406-7670
Mailing Address - Street 1:606 COLONIAL DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6535
Mailing Address - Country:US
Mailing Address - Phone:225-406-7670
Mailing Address - Fax:
Practice Address - Street 1:606 COLONIAL DR STE F
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6535
Practice Address - Country:US
Practice Address - Phone:225-406-7670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5559251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA601008607Medicaid