| NPI | 1295065241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY R. MAZE Office Manager 337-528-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: LA 05359) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: LA 2176) |
| 1041C0700X Social Worker, Clinical (Licence: LA 8971) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 021615) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 104100000X Social Worker | |
| 103T00000X Psychologist | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-11-05 |