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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up