Provider Demographics
NPI:1841432226
Name:PINSON, NICOLE COUVILLON (LPC, LLC)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:COUVILLON
Last Name:PINSON
Suffix:
Gender:F
Credentials:LPC, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5695 LAUREL HILL LN
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775-9506
Mailing Address - Country:US
Mailing Address - Phone:225-721-3107
Mailing Address - Fax:
Practice Address - Street 1:5681 COMMERCE ST.
Practice Address - Street 2:
Practice Address - City:ST. FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775
Practice Address - Country:US
Practice Address - Phone:225-721-3107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2757101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional