Organization
REWIRED, COUNSELING AND BRAINSPOTTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY R. MOISE-FONTENOT LPC-S (MENTAL HEALTH COUNSELOR/OWNER)
(985) 288-1315
Entity
Organization
Contact information
Practice address
1250 SW RAILROAD AVE STE 170, HAMMOND, LA 70403-5011
(985) 288-1315
Mailing address
47191 BENDER RD, HAMMOND, LA 70401-6829
(985) 288-1315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/08/2019
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