Provider Demographics
NPI:1821633942
Name:CENTRAL LOUISIANA COUNSELING SERVICES
Entity Type:Organization
Organization Name:CENTRAL LOUISIANA COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:VEULEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:318-230-4476
Mailing Address - Street 1:1403 METRO DR BLDG STE G-2
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3454
Mailing Address - Country:US
Mailing Address - Phone:318-230-4476
Mailing Address - Fax:318-266-7974
Practice Address - Street 1:1403 METRO DR BLDG STE G-2
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3454
Practice Address - Country:US
Practice Address - Phone:318-230-4476
Practice Address - Fax:318-266-7974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty