Organization
OPTIMAL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KE'ARRAH JACKSON LPC (OWNER)
(985) 360-8199
Entity
Organization
Contact information
Practice address
501 SUNSET AVE, HOUMA, LA 70360-6653
(985) 360-8199
Mailing address
157 NATALIE PARK DR, THIBODAUX, LA 70301-8439
(985) 360-8199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/29/2019
Last updated
11/19/2020
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