Organization
SOUTHERN SELECT HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREY JOSEPH IVERSTINE LMT (PRESIDENT)
(225) 445-6370
Entity
Organization
Contact information
Practice address
12518 WYNDY AVE, BATON ROUGE, LA 70816-4759
(225) 445-6370
Mailing address
12518 WYNDY AVE, BATON ROUGE, LA 70816-4759
(225) 445-6370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
106S00000X
Behavior Technician
—
—
111N00000X
Chiropractor
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
133N00000X
Nutritionist
—
—
163W00000X
Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
183500000X
Pharmacist
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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