Provider Demographics
NPI:1851327050
Name:IMAGING COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:IMAGING COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DARONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER-LATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:225-281-0968
Mailing Address - Street 1:PO BOX 1051
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70704-1051
Mailing Address - Country:US
Mailing Address - Phone:225-281-0968
Mailing Address - Fax:225-771-1616
Practice Address - Street 1:910 N BON MARCHE DR
Practice Address - Street 2:SUITE C
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-2257
Practice Address - Country:US
Practice Address - Phone:225-281-0968
Practice Address - Fax:225-771-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA61461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty