Provider Demographics
NPI:1730804105
Name:ESSENCE OF THERAPY & CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:ESSENCE OF THERAPY & CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:985-217-8949
Mailing Address - Street 1:242 CROSSING NORTH ST
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-6837
Mailing Address - Country:US
Mailing Address - Phone:985-322-6877
Mailing Address - Fax:985-202-8129
Practice Address - Street 1:242 CROSSING NORTH ST
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-6837
Practice Address - Country:US
Practice Address - Phone:985-322-6877
Practice Address - Fax:985-202-8129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty