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C A Konikoff Msw Lcsw Llc
Adolescent and Children Mental Health Clinic/Center in Lafayette, Louisiana
NPI 1659842789

C A Konikoff Msw Lcsw Llc is an Adolescent and Children Mental Health Clinic/Center based in Lafayette, LA and is specialized in Adolescent and Children Mental Health. C A Konikoff Msw Lcsw Llc practices in Lafayette, LA. The NPI Number for C A Konikoff Msw Lcsw Llc is 1659842789 and holds a License No. (Louisiana).

The current practice location address for C A Konikoff Msw Lcsw Llc is 143 Ridgeway Dr Ste 207, Lafayette, LA and can be reached out via phone at 337-981-2110. You can also correspond with C A Konikoff Msw Lcsw Llc through the mailing address at 143 RIDGEWAY DR STE 207, LAFAYETTE, LA - 70503-3532 (mailing address contact number: 337-981-2110).

Location: 143 Ridgeway Dr Ste 207, Lafayette, LA, 70503-3532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659842789
Provider Name
C A Konikoff Msw Lcsw Llc
Credential
Provider Entity Type
Organization
Address
143 Ridgeway Dr Ste 207, Lafayette, LA, 70503-3532
Phone Number
337-981-2110
Fax Number
Provider Enumeration Date
12/16/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
143 Ridgeway Dr Ste 207
City
Lafayette
State
Louisiana
Zip
70503-3532
Phone Number
337-981-2110
Fax Number
person
Provider Business Mailing Address Details
Address
143 Ridgeway Dr Ste 207
City
Lafayette
State
Louisiana
Zip
70503-3532
Phone Number
337-981-2110
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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