Provider Demographics
NPI:1265884951
Name:THE ESPOIR THERAPY & SUPPORT SERVICES
Entity type:Organization
Organization Name:THE ESPOIR THERAPY & SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TISHLINN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SIMS-FOUNTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:504-312-9388
Mailing Address - Street 1:401 WHITNEY AVE
Mailing Address - Street 2:SUITE 409
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-2558
Mailing Address - Country:US
Mailing Address - Phone:504-312-9388
Mailing Address - Fax:504-362-9070
Practice Address - Street 1:401 WHITNEY AVE
Practice Address - Street 2:SUITE 409
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-2558
Practice Address - Country:US
Practice Address - Phone:504-312-9388
Practice Address - Fax:504-362-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5971101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty