Kelly Liner Derouen in Houma - School

Kelly Liner Derouen - NPI 1619996519

Kelly Liner Derouen is a School in Houma, Louisiana. Kelly Liner Derouen practices all healthcare services and medical treatments related to School. The NPI Number for Kelly Liner Derouen is 1619996519. The last update date is 2007-07-08.

Kelly Liner Derouen's current location address is 547 Bayou Dularge Road, Houma, Louisiana. You can contact this provider via phone number 9858765748. The mailing address for Kelly Liner Derouen is 547 Bayou Dularge Road, Houma, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Liner Derouen
Address 547 Bayou Dularge Road, Houma, Louisiana
Phone Number 9858765748
Fax Number
Sole Proprietor Y
Credentials LPC,LMFT,N

NPI Number Detail

NPI Number 1619996519
Provider Enumeration Date 2006-07-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 547 Bayou Dularge Road
City Houma
State Louisiana (LA)
Post Code 70363
Phone Number 9858765748
Fax Number

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 101Ys0200X
Licence No 74931
Definition:
A counselor who works with students in elementary, middle, and high schools.

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FAQs about Kelly Liner Derouen

What is the unique identifier code issued to Kelly Liner Derouen by the Centers for Medicare & Medicaid Services?

The Kelly Liner Derouen has been assigned the NPI (National Provider Identifier) 1619996519. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kelly Liner Derouen is located?

The Kelly Liner Derouen is situated at the following address: 547 Bayou Dularge Road, Houma, LA, 70363.

What is the Kelly Liner Derouen's area of specialization and corresponding taxonomy classification?

The Kelly Liner Derouen's specialty field is School, and it falls under the taxonomy code 101Ys0200X, which categorizes healthcare providers based on their specialties.

When was the Kelly Liner Derouen's 1619996519 issued?

The Kelly Liner Derouen's 1619996519 was issued on 2006-07-19.

As of what date were the details pertaining to Kelly Liner Derouen last refreshed?

The information related to the Kelly Liner Derouen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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