Provider Demographics
NPI:1881463081
Name:INTUITIVE SOLUTIONS COUNSELING & RECOVERY OF LOUISIANA, LLC
Entity type:Organization
Organization Name:INTUITIVE SOLUTIONS COUNSELING & RECOVERY OF LOUISIANA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:INDIANA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WITHERINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, LAC,CCS
Authorized Official - Phone:318-533-2660
Mailing Address - Street 1:451 HENRY SMITH RD.
Mailing Address - Street 2:
Mailing Address - City:BERNICE
Mailing Address - State:LA
Mailing Address - Zip Code:71222
Mailing Address - Country:US
Mailing Address - Phone:318-533-2660
Mailing Address - Fax:
Practice Address - Street 1:330 E. VAUGHN AVE.
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270
Practice Address - Country:US
Practice Address - Phone:318-608-7538
Practice Address - Fax:318-717-1905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty