Jayme Liles, LCSW
Social Worker, Clinical in Lafayette, LA. Individual provider (NPI-1).
NPI number1871141663
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1871141663
- Entity type
- Individual (NPI-1)
- Name
- Jayme Liles
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2019
- Certification date
- Aug 16, 2022
- Last updated
- Aug 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12850 | LA | Yes |
Practice location
850 Kaliste Saloom Rd Ste 116Lafayette, LA 70508-4230
Phone 337-247-4370
Mailing address
502 Woodvale AveLafayette, LA 70503-3436
Phone 337-247-4379
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