KINGDOM SOURCE, LLC is a counselor in Lafayette, LA. The provider is 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. KINGDOM SOURCE, LLC NPI is 1154698892. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2506 JOHNSTON ST
LAFAYETTE, LA
ZIP 70503-238
Phone: (337) 456-6166
Fax: (337) 456-4830
The provider's authorized official is Winford Louis Amos .
The authorized official title is Director/ Owner and has the following contact phone number (337) 456-6166.
The enumeration date for this NPI number is 11/23/2011 and was last updated on 11/26/2019.