Organization
LARSON COUNSELING & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE DALE LARSON JR. LPC (OWNER/LICENSED PROF. COUNSELOR)
(337) 781-9742
Entity
Organization
Contact information
Practice address
708 W UNIVERSITY AVE STE 200, LAFAYETTE, LA 70506-3500
(337) 781-9742
Mailing address
204 JULIETTE PL, LAFAYETTE, LA 70506-4517
(337) 781-9742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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