Organization
BREATH OF LIFE COUNSELING, LLC
Active
Other names
Breath of Life, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA J STOUT LCSW (OWNER)
(985) 264-8089
Entity
Organization
Contact information
Practice address
71667 LEVESON ST, ABITA SPRINGS, LA 70420-3635
(985) 264-8089
Mailing address
71667 LEVESON ST, ABITA SPRINGS, LA 70420-3635
(985) 264-8089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3035
LA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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