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LASTING IMPRESSION THERAPEUTIC COUNSELING CENTER, LLC
NPI 1215349816
Community/Behavioral Health in Lake Charles, LA

Active since May 30, 2014
2805 5TH AVE, LAKE CHARLES, LA 70601(337) 429-5672(337) 429-5657 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lasting Impression Therapeutic Counseling Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LASTING IMPRESSION THERAPEUTIC COUNSELING CENTER, LLC (NPI 1215349816) is a healthcare organization registered as a community/behavioral health in Lake Charles, Louisiana and active in the NPI registry since May 2014. The organization lists Natalia Butler, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1215349816
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLASTING IMPRESSION THERAPEUTIC COUNSELING CENTER, LLC
Location Address2805 5TH AVELake Charles, LA 70601-7913
Mailing Address2805 5th AveLake Charles, LA 70601-7913 · (337) 377-8225
Phone(337) 429-5672
Fax(337) 429-5657
Organization SubpartNo
Authorized OfficialNatalia ButlerFounder/ceo · (337) 377-8225
Enumeration DateMay 30, 2014
Last NPPES UpdateMarch 22, 2018
✔ NPI 1215349816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in LA · 2203783804
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2805 5TH AVE, Lake Charles, LA 70601
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Other Identifiers 1

Medicaid2203783804LA

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALECIA PRYOR
Counselor (Mental Health)
2805 5TH AVE
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 429-5672
SANTANA CAMMON
Counselor (Mental Health)
2805 5TH AVE
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 429-5672
TERRANCE ANDERSON
Counselor (Mental Health)
2805 5TH AVE
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 429-5672
AMANDA SHOEMAKE
Case Manager/Care Coordinator
2805 5TH AVE
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 429-5672
ANGELIQUE GRIFFITH
Counselor (Mental Health)
2805 5TH AVE
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 429-5672
SHELIA SLAUGHTER
Counselor (Mental Health)
2805 5TH AVE
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 429-5672
SHANTEL VILTZ
Counselor (Mental Health)
2805 5TH AVE
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 429-5672
TIFFANY BERTRAND
Counselor (Mental Health)
2805 5TH AVE
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 429-5672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lasting Impression Therapeutic Counseling Center, LLC's NPI number?

The NPI number for Lasting Impression Therapeutic Counseling Center, LLC is 1215349816. It was assigned to this organization in the NPPES registry on May 30, 2014.

Where is Lasting Impression Therapeutic Counseling Center, LLC located?

Lasting Impression Therapeutic Counseling Center, LLC is located at 2805 5th Ave, Lake Charles, LA 70601. The listed phone number is (337) 429-5672.

What is Lasting Impression Therapeutic Counseling Center, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Lasting Impression Therapeutic Counseling Center, LLC was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.