Organization
FAMILY THERAPY AND WELLNESS CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GRANT MARTIN MA, LPC, LMFT (OWNER)
(318) 469-9132
Entity
Organization
Contact information
Practice address
418 WEBB CT, MINDEN, LA 71055-2649
(318) 371-2714
Mailing address
418 WEBB CT, MINDEN, LA 71055-2649
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
2032
LA
305S00000X
Point of Service
Primary
2032
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137
MARRIAGE AND FAMILY THERAPIST
LA
Enumeration date
01/28/2016
Last updated
01/28/2016
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