Organization
FORENSIC THERAPY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARA RODRIGUE LCSW-BACS (OWNER/LCSW-BACS)
(985) 856-5144
Entity
Organization
Contact information
Practice address
619 DUVAL AVE, HOUMA, LA 70364-3103
(985) 856-5144
Mailing address
619 DUVAL AVE, HOUMA, LA 70364-3103
(985) 856-5144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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