Organization
PHOENIX COUNSELING AND THERAPEUTIC SERVICES, LLC
Active
Organization
PHOENIX COUNSELING AND THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YETTIA BENN JASMINE LCSW (OWNER)
(504) 382-9879
Entity
Organization
Contact information
Practice address
1720 STUMPF BLVD, 202, TERRYTOWN, LA 70056-3997
(504) 382-9879
(504) 910-9339
Mailing address
1221 L B LANDRY AVE, NEW ORLEANS, LA 70114-2656
(504) 382-9879
(504) 910-9339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6795
LA
Other
Enumeration date
08/31/2016
Last updated
10/21/2016
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