Mental Connections Of Southwest LLC
Counselor, Mental Health in Lake Charles, LA. Organization (NPI-2).
NPI number1508301037
StatusActive
Last updated in NPPESApr 5, 2021
Details
- NPI
- 1508301037
- Entity type
- Organization (NPI-2)
- Legal business name
- Mental Connections Of Southwest LLC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2016
- Certification date
- Apr 5, 2021
- Last updated
- Apr 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 4894 | LA | Yes |
Practice location
127 Williamsburg St Bldg ELake Charles, LA 70605-5719
Phone 337-376-0136 · Fax 337-376-5244
Mailing address
Po Box 1273Lake Charles, LA 70602-1273
Phone 337-376-0136 · Fax 337-376-5244
Authorized official
Robin Claire Daugereau
Owner/Manager
3373760136
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