Provider Demographics
NPI:1235640764
Name:NOLA COUNSELING, LLC
Entity type:Organization
Organization Name:NOLA COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SCARLET
Authorized Official - Middle Name:O'DELL
Authorized Official - Last Name:BERCKES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:504-259-5241
Mailing Address - Street 1:4173 TOULOUSE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-4735
Mailing Address - Country:US
Mailing Address - Phone:504-259-5241
Mailing Address - Fax:
Practice Address - Street 1:4173 TOULOUSE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-4735
Practice Address - Country:US
Practice Address - Phone:504-259-5241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6884251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health