Organization
NOUVELLE VIE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE M NAQUIN-BOLTON LPC-S, NCC (OWNER)
(985) 859-7097
Entity
Organization
Contact information
Practice address
504 CHERRY ST, THIBODAUX, LA 70301-2204
(985) 859-7097
Mailing address
504 CHERRY ST, THIBODAUX, LA 70301-2204
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
4385
LA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
4385
LA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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