Mailloux Jensen, Regina

Mailloux Jensen, Regina is an sole proprietor health care provider with primary practice located at 400 Mariners Plaza Dr Ste 408F , Mandeville LA 70448-4797. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mailloux Jensen, Regina can be contacted via phone (958) 718-4507.

Contact Information

Primary practice address
400 Mariners Plaza Dr Ste 408F Mandeville LA 70448-4797
Phone: (958) 718-4507
Fax: (504) 617-7878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1574 Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8651 Georgia
Agencies / Community/Behavioral Health 251S00000X 1574 Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8517 Louisiana

Profile Details

NPI number 1821536806
LBN Legal business name Mailloux Jensen, Regina
Credentials LAC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2017
Last updated Feb 4th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821536806 NPPES
Louisiana Other 81-2765138 IRS

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