Individual
PETHENA PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 FELICIA AVE, TALLULAH, LA 71282
(318) 574-1232
(318) 574-8646
Mailing address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
(318) 574-1232
(318) 574-8646
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC8860
LA
171M00000X
Case Manager/Care Coordinator
PLC8860
LA
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Enumeration date
07/12/2016
Last updated
02/01/2023
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