Provider Demographics
NPI:1720326234
Name:FOOSE COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:FOOSE COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOOSE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:504-333-9171
Mailing Address - Street 1:3921 ROYAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-5439
Mailing Address - Country:US
Mailing Address - Phone:504-333-9171
Mailing Address - Fax:
Practice Address - Street 1:8237 OAK ST
Practice Address - Street 2:STUDIO B
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-2041
Practice Address - Country:US
Practice Address - Phone:504-333-9171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty