Organization
RENAISSANCE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY F TRAHAN LPC (OWNER)
(337) 240-8162
Entity
Organization
Contact information
Practice address
1924 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4131
(337) 324-1865
Mailing address
1924 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4131
(337) 240-8162
(337) 240-8163
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760825152
—
LA
05
—
1902441827
—
LA
Enumeration date
08/30/2021
Last updated
03/20/2023
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