| Katie L Simon Lcsw | |
|
1137 S Bernard Rd Ste A1006 Broussard LA 70518-5374 | |
| (337) 306-4540 | |
| Not Available |
| Full Name | Katie L Simon Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1137 S Bernard Rd Ste A1006, Broussard, Louisiana |
| Authorized Official Name and Position | Katie Lynn Simon (OWNER) |
| Authorized Official Contact | 3373064540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie L Simon Lcsw 1137 S Bernard Rd Ste A1006 Broussard LA 70518-5374 Ph: (337) 306-4540 | Katie L Simon Lcsw 1137 S Bernard Rd Ste A1006 Broussard LA 70518-5374 Ph: (337) 306-4540 |
| NPI Number | 1336929108 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336929108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Alliance Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 B South Girouard Dr, Broussard, LA 70518 Phone: 337-369-0008 |