Chaisson, Tina
Chaisson, Tina is an individual health care provider with primary practice located at 13101 River Rd , Luling LA 70070-4165. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Chaisson, Tina can be contacted via phone (985) 331-1999.Contact Information
Primary practice address
13101 River Rd
Luling LA 70070-4165
Phone: (985) 331-1999
Fax: (985) 331-2353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2500 | Louisiana |
Profile Details
| NPI number | 1295101665 |
|---|---|
| LBN Legal business name | Chaisson, Tina |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Aug 19th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295101665 | NPPES |
| Louisiana | Other | 11676401 | CAQH |
| Louisiana | MEDICAID | 793696000 | CAQH |
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