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TISHLINN S FOUNTAIN LLC NPI 1396281077


NPI Information

NPI: 1396281077
Provider Name: TISHLINN S FOUNTAIN, LLC

Doing Business As: T.A. SIMS THERAPY & SUPPORT SERVICES LLC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
401 WHITNEY AVE
STE 409
GRETNA, LA
ZIP 70056
Phone: (504) 362-9010
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TISHLINN S FOUNTAIN, LLC is a mental health counselor in Gretna, LA. TISHLINN S FOUNTAIN, LLC NPI is 1396281077. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As T.a. Sims Therapy & Support Services Llc.

The provider's business location address is:

401 WHITNEY AVE
STE 409
GRETNA, LA
ZIP 70056-558
Phone: (504) 362-9010
Fax: (504) 362-9070

The provider's authorized official is Tishlinn S Fountain .
The authorized official title is Owner and has the following contact phone number (504) 312-9388.

The enumeration date for this NPI number is 1/18/2017 and was last updated on 1/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health5971LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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