Provider Demographics
NPI:1841807930
Name:PROSPEC COACHING AND CONSULTING, L3C
Entity type:Organization
Organization Name:PROSPEC COACHING AND CONSULTING, L3C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:940-268-5191
Mailing Address - Street 1:345 PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:FLORIEN
Mailing Address - State:LA
Mailing Address - Zip Code:71429-4615
Mailing Address - Country:US
Mailing Address - Phone:940-268-5191
Mailing Address - Fax:
Practice Address - Street 1:345 PROSPECT RD
Practice Address - Street 2:
Practice Address - City:FLORIEN
Practice Address - State:LA
Practice Address - Zip Code:71429-4615
Practice Address - Country:US
Practice Address - Phone:940-268-5191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health