| Cup With A Twist Of Cocoa | |
|
411 Wall St Ste B Lafayette LA 70506-3029 | |
| (337) 504-5529 | |
| Not Available |
| Full Name | Cup With A Twist Of Cocoa |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 411 Wall St Ste B, Lafayette, Louisiana |
| Authorized Official Name and Position | Crystal Provost (ADMINISTRATIION) |
| Authorized Official Contact | 3373474718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cup With A Twist Of Cocoa 411 Wall St Ste B Lafayette LA 70506-3029 Ph: (337) 347-4718 | Cup With A Twist Of Cocoa 411 Wall St Ste B Lafayette LA 70506-3029 Ph: (337) 504-5529 |
| NPI Number | 1982323465 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982323465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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