Provider Demographics
NPI:1396136933
Name:TCHEFUNCTE FAMILY COUNSELING
Entity type:Organization
Organization Name:TCHEFUNCTE FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:KIRK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-BACS
Authorized Official - Phone:985-871-8177
Mailing Address - Street 1:321 N VERMONT ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-2833
Mailing Address - Country:US
Mailing Address - Phone:985-871-8177
Mailing Address - Fax:
Practice Address - Street 1:321 N VERMONT ST
Practice Address - Street 2:SUITE 203
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-2833
Practice Address - Country:US
Practice Address - Phone:985-871-8177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA9889251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health