Provider Demographics
NPI:1932336658
Name:ACADIANA BEHAVIORAL COUNSELING
Entity Type:Organization
Organization Name:ACADIANA BEHAVIORAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARLYN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GOINS-MCCANTS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:225-315-4769
Mailing Address - Street 1:943 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-5362
Mailing Address - Country:US
Mailing Address - Phone:337-692-1566
Mailing Address - Fax:
Practice Address - Street 1:943 N COURT ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-5362
Practice Address - Country:US
Practice Address - Phone:337-692-1566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-20
Last Update Date:2009-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health