Organization
LAUNCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANTELLE BALLARD VARNADO PHD, CCC-SLP (EXECUTIVE DIRECTOR)
(225) 405-8627
Entity
Organization
Contact information
Practice address
1310 S RANGE AVE, DENHAM SPRINGS, LA 70726-4810
(225) 380-1894
(225) 380-1896
Mailing address
1310 S RANGE AVE, DENHAM SPRINGS, LA 70726-4810
(225) 380-1894
(225) 380-1896
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
4777
LA
Other
Enumeration date
06/08/2015
Last updated
08/10/2026
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