PHOENIX COUNSELING AND THERAPEUTIC SERVICES, LLC (NPI# 1669928453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669928453 |
| Entity Type | Organization |
| Organization Name | PHOENIX COUNSELING AND THERAPEUTIC SERVICES, LLC |
| Practice Address |
1720 Stumpf Blvd 202 Terrytown LA 70056-3997 |
| Mailing Address |
1221 L B Landry Ave New Orleans LA 70114-2656 |
| Practice Telephone | 5043829879 |
| Practice Fax Number | 5049109339 |
| Mailing Telephone | 5043829879 |
| Mailing Fax Number | 5049109339 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | MRS. YETTIA BENN JASMINE (OWNER) |
| Authorized Official Telephone | 5043829879 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6795 | LA | Behavioral Health & Social Service Providers |
| Street Address |
1720 STUMPF BLVD 202 |
| City | TERRYTOWN |
| State | LA |
| Zip Code | 70056-3997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326385469 | Yettia Benn Jasmine | Social Worker | 1720 Stumpf Blvd, Suite 202, Terrytown, LA 70056 | 2013-01-09 |
| 1396105680 | Anderson Therapeutic Massage | Mechanotherapist | 1720 Stumpf Blvd, Suite 203, Terrytown, LA 70056-3923 | 2016-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1326385469 | Yettia Benn Jasmine | Social Worker | 1720 Stumpf Blvd, Suite 202, Terrytown, LA 70056 | 2013-01-09 |
| 1942535877 | Cassandra Denise Smith | Social Worker | 786 Behrman Hwy, Terrytown, LA 70056-3012 | 2009-10-09 |
| 1285657429 | Cynthia Bernoudy Jackson | Social Worker | 118 Terry Pkwy, Terrytown, LA 70056-2523 | 2006-07-26 |
| 1538720198 | Life Enhancement and Family Services, LLC | Social Worker | 1799 Stumpf Blvd Ste 10, Terrytown, LA 70056-3950 | 2019-06-25 |
| 1548629033 | Tanisha Peterson | Social Worker | 1799 Stumpf Blvd Ste 10, Terrytown, LA 70056-3950 | 2016-02-12 |
| 1730465626 | Robin Parker-brooks | Social Worker | 1799 Stumpf Blvd, Bldg 3 Suite 4b, Terrytown, LA 70056-3950 | 2011-10-24 |
| 1912283813 | Djenaba Jones | Social Worker | 1799 Stumpf Blvd, Bldg 3 Suite 4b, Terrytown, LA 70056-3950 | 2011-10-24 |
| 1972839678 | Michael G Frederick Sr. | Social Worker | 1581 Carol Sue Ave, Suite212, Terrytown, LA 70056-5100 | 2009-10-30 |
| 1043323595 | Vincent Dwight Luckett | Social Worker | 118 Terry Pkwy, Terrytown, LA 70056-2523 | 2006-08-17 |
| Find all providers in TERRYTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.