Provider Demographics
NPI:1720709603
Name:MUSGROVE CONSULTING LLC
Entity Type:Organization
Organization Name:MUSGROVE CONSULTING LLC
Other - Org Name:MINDEN COUNSELING ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AUDRIA
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:MUSGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, BC-TMH
Authorized Official - Phone:318-505-3618
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:DOYLINE
Mailing Address - State:LA
Mailing Address - Zip Code:71023-0083
Mailing Address - Country:US
Mailing Address - Phone:318-734-8553
Mailing Address - Fax:844-769-7920
Practice Address - Street 1:105 MADISON SQ
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3095
Practice Address - Country:US
Practice Address - Phone:318-734-8553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty