Individual
MRS. ELOISE KAYOLINE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5 SECURITY BLVD STE F, HOUMA, LA 70360-2780
(985) 796-2170
Mailing address
116 CENTRAL AVE, HOUMA, LA 70364-3008
(985) 860-3088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7311
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3393131
—
LA
Enumeration date
03/06/2018
Last updated
02/06/2023
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