Provider Demographics
NPI:1720728066
Name:ESSENTIAL INTENTIONS COUNSELING, LLC
Entity Type:Organization
Organization Name:ESSENTIAL INTENTIONS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KOURTNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:504-912-7705
Mailing Address - Street 1:117 SUMMER CYPRESS LN
Mailing Address - Street 2:
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037-1691
Mailing Address - Country:US
Mailing Address - Phone:504-912-7705
Mailing Address - Fax:
Practice Address - Street 1:117 SUMMER CYPRESS LN
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037-1691
Practice Address - Country:US
Practice Address - Phone:504-912-7705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty