EDDIE FOUNTAIN
NPI 1295182889
Counselor - Mental Health in Tallulah, LA

Active since May 24, 2016
1705 FELICIA AVE, TALLULAH, LA 71282(318) 574-1232(318) 574-8646 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eddie Fountain NPPES

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

EDDIE FOUNTAIN (NPI 1295182889) is an individual mental health provider in Tallulah, Louisiana and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1295182889
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDDIE FOUNTAIN
Location Address1705 FELICIA AVETallulah, LA 71282-8203
Mailing Address1705 Felicia AveTallulah, LA 71282-8203 · (318) 574-1232 · Fax (318) 574-8646
Fax(318) 574-8646
Sole ProprietorYes
Enumeration DateMay 24, 2016
NPI 1295182889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1705 FELICIA AVE, Tallulah, LA 71282

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
1705 FELICIA AVE
TALLULAH, LA 71282
Counselor (Mental Health)
1705 FELICIA AVE
TALLULAH, LA 71282
Counselor (Mental Health)
1705 FELICIA AVE
TALLULAH, LA 71282
Counselor (Mental Health)
1705 FELICIA AVE
TALLULAH, LA 71282
Counselor (Mental Health)
1705 FELICIA AVE
RICHMOND, LA 71282
Counselor (Mental Health)
1705 FELICIA AVE
TALLULAH, LA 71282
Counselor (Mental Health)
1705 FELICIA AVE
TALLULAH, LA 71282
Counselor (Mental Health)
1705 FELICIA AVE
TALLULAH, LA 71282

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295182889, enumerated as an "individual" on May 24, 2016.

The provider is located at 1705 FELICIA AVE TALLULAH, LA 71282 and the phone number is (318) 574-1232.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.