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Kingdom Source, Llc
Social Worker in Lafayette, Louisiana
NPI 1154698892

Kingdom Source, Llc is a Social Worker based in Breaux Bridge, LA. Kingdom Source, Llc practices in Lafayette, LA. The NPI Number for Kingdom Source, Llc is 1154698892 and holds a License No. (Louisiana).

The current practice location address for Kingdom Source, Llc is 2506 Johnston St, Lafayette, LA and can be reached out via phone at 337-456-6166 and via fax at 337-456-4830. You can also correspond with Kingdom Source, Llc through the mailing address at 3226 GRAND POINT HWY, BREAUX BRIDGE, LA - 70517-6221 (mailing address contact number: 337-456-6166).

Location: 2506 Johnston St, Lafayette, LA, 70517-6221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154698892
Provider Name
Kingdom Source, Llc
Credential
Provider Entity Type
Organization
Address
2506 Johnston St, Lafayette, LA, 70517-6221
Phone Number
337-456-6166
Fax Number
337-456-4830
Provider Enumeration Date
11/23/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
2506 Johnston St
City
Lafayette
State
Louisiana
Zip
70503-3238
Phone Number
337-456-6166
Fax Number
337-456-4830
person
Provider Business Mailing Address Details
Address
3226 Grand Point Hwy
City
Breaux Bridge
State
Louisiana
Zip
70517-6221
Phone Number
337-456-6166
Fax Number
337-456-4830
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
()
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
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