MS. CONNIE PEARL BROUSSARD LCSW LMSW NPI 1790953180

NPI Information

NPI: 1790953180
Provider Name: MS. CONNIE PEARL BROUSSARD, LCSW, LMSW
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
302 DULLES DR
SUITE 1
LAFAYETTE, LA
ZIP 70506
Phone: (337) 262-5870
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MS. Connie Pearl Broussard, LCSW, LMSW is a professional counselor in Lafayette, LA. MS. Connie Pearl Broussard, LCSW, LMSW NPI is 1790953180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

302 DULLES DR
SUITE 1
LAFAYETTE, LA
ZIP 70506-008
Phone: (337) 262-5870
Fax: (337) 262-1272

The enumeration date for this NPI number is 2/19/2008 and was last updated on 2/13/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	LMSW 9124	LOUISIANA	No
2	101YP2500X	Counselor	Professional	LCSW 9124	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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