Provider Demographics
NPI:1336927318
Name:QUIET OAK COUNSELING LLC
Entity Type:Organization
Organization Name:QUIET OAK COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-286-0576
Mailing Address - Street 1:4751 LAFAYE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-6135
Mailing Address - Country:US
Mailing Address - Phone:210-286-0576
Mailing Address - Fax:
Practice Address - Street 1:1138 S CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-2024
Practice Address - Country:US
Practice Address - Phone:210-286-0576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)