Organization
CANOPY COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI WHITESIDE (OWNER)
(504) 300-7418
Entity
Organization
Contact information
Practice address
441 HOLMES DR, SLIDELL, LA 70460-8431
(985) 707-9051
Mailing address
441 HOLMES DR, SLIDELL, LA 70460-8431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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