Tlajahawaun Thibodeaux
Case Manager/Care Coordinator in Lafayette, LA. Individual provider (NPI-1).
NPI number1699257527
StatusActive
Last updated in NPPESDec 12, 2018
Details
- NPI
- 1699257527
- Entity type
- Individual (NPI-1)
- Name
- Tlajahawaun Thibodeaux
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2018
- Last updated
- Dec 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
105 Industrial PkwyLafayette, LA 70508-3207
Phone 337-534-0254
Mailing address
105 Industrial PkwyLafayette, LA 70508-3207
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