Provider Demographics
NPI:1851933576
Name:POSSIBILITIES COUNSELING SERVICES FOUNDATION
Entity Type:Organization
Organization Name:POSSIBILITIES COUNSELING SERVICES FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPCS, LMFT
Authorized Official - Phone:337-313-3108
Mailing Address - Street 1:1003 S HUNTINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70663-4837
Mailing Address - Country:US
Mailing Address - Phone:337-313-3108
Mailing Address - Fax:337-313-3347
Practice Address - Street 1:1003 S HUNTINGTON ST
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-4837
Practice Address - Country:US
Practice Address - Phone:337-313-3108
Practice Address - Fax:337-313-3347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty