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Organization
TISHLINN S FOUNTAIN, LLC
Active
Organization
TISHLINN S FOUNTAIN, LLC
Active
Other names
T.A. Sims Therapy & Support Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TISHLINN S FOUNTAIN LPC (OWNER)
(504) 312-9388
Entity
Organization
Contact information
Practice address
401 WHITNEY AVE, STE 409, GRETNA, LA 70056-2558
(504) 362-9010
(504) 362-9070
Mailing address
401 WHITNEY AVE, STE 409, GRETNA, LA 70056-2558
(504) 362-9010
(504) 362-9070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5971
LA
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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