Koni Breaux Bridges in Sulphur - Clinical
Koni Breaux Bridges - NPI 1295915387
Koni Breaux Bridges is a Clinical in Sulphur, Louisiana. Koni Breaux Bridges practices all healthcare services and medical treatments related to Clinical. The NPI Number for Koni Breaux Bridges is 1295915387. The last update date is 2019-02-15.
Koni Breaux Bridges's current location address is Po Box 1865, Sulphur, Louisiana. You can contact this provider via phone number 3376255664. The mailing address for Koni Breaux Bridges is Po Box 1865, Sulphur, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Koni Breaux Bridges |
|---|---|
| Address | Po Box 1865, Sulphur, Louisiana |
| Phone Number | 3376255664 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1295915387 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2019-02-15 |
Provider Mailing Address Detail
| Address | Po Box 1865 |
|---|---|
| City | Sulphur |
| State | Louisiana (LA) |
| Post Code | 706641865 |
| Phone Number | 3376255664 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2739 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Post Comment/ Review Below
What is the unique identifier code issued to Koni Breaux Bridges by the Centers for Medicare & Medicaid Services?
The Koni Breaux Bridges has been assigned the NPI (National Provider Identifier) 1295915387. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Koni Breaux Bridges's facilities are geographically located?
The facilities of Koni Breaux Bridges are physically situated at the following location: Po Box 1865, Sulphur, LA, 706641865.
What is Koni Breaux Bridges's area of expertise and its corresponding taxonomy classification?
The Koni Breaux Bridges's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Koni Breaux Bridges receive its 1295915387 assignment from the Centers for Medicare & Medicaid Services?
The Koni Breaux Bridges was assigned its 1295915387 on 2007-11-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Koni Breaux Bridges's details last updated?
The information pertaining to the Koni Breaux Bridges, including its address, specialty, and other details, was most recently updated on 2019-02-15.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN