Organization
HEAL YOUR LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA R DIXON LPC (PRESIDENT)
(225) 226-5947
Entity
Organization
Contact information
Practice address
8738 QUARTERS LAKE RD, BATON ROUGE, LA 70809-2194
(225) 226-5947
Mailing address
18330 DOC OLENA DR, BATON ROUGE, LA 70817-0701
(225) 226-5947
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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