Organization
NORTHLAKE COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JESSICA G GANDOLFO LPC, LMFT (OWNER)
(985) 687-5226
Entity
Organization
Contact information
Practice address
485 S 8TH ST, PONCHATOULA, LA 70454-3415
(985) 687-5226
(866) 657-7188
Mailing address
902 C M FAGAN DR, UNIT B, HAMMOND, LA 70403-6043
(985) 687-5226
(866) 657-7188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2753
LA
106H00000X
Marriage & Family Therapist
1123
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740457092
INDIVIDUAL NPI
LA
Enumeration date
06/04/2012
Last updated
06/04/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us