C A KONIKOFF MSW LCSW LLC NPI 1659842789

NPI Information

C A KONIKOFF MSW LCSW LLC is an adult mental health clinic center in Lafayette, LA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. C A KONIKOFF MSW LCSW LLC NPI is 1659842789. The provider is registered as an organization entity type.

The provider's business location address is:

143 RIDGEWAY DR STE 207
LAFAYETTE, LA
ZIP 70503-532
Phone: (337) 981-2110

The provider's authorized official is Constance Anne Konikoff .
The authorized official title is Owner and has the following contact phone number (337) 981-2110.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 12/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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