Organization
MARY CATHERINE BIENVENU MA LPC LAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CATHERINE BIENVENU LPC (SOLE MEMBER OF LLC)
(337) 842-1516
Entity
Organization
Contact information
Practice address
300 NOLAN TRCE, LEESVILLE, LA 71446-3914
(337) 842-1516
Mailing address
2013 SLAGLE RD, LEESVILLE, LA 71446-2060
(337) 842-1516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/27/2012
Last updated
02/10/2016
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