Kingdom Source, Llc
Specialty details in registry · Lafayette, LA
At a glance
2506 Johnston St, Lafayette, LA 70503-3238
NPPES record updated Nov 26, 2019. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
2506 Johnston StLafayette, LA 70503-3238
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 101Y00000X
- Enumeration date
- Nov 23, 2011
- Record updated
- Nov 26, 2019
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
101Y00000X · Primary
Specialty details in registry
101YA0400X
Mental Health Counselor
101YM0800X
Specialty details in registry
101YP1600X
Specialty details in registry
101YP2500X
Specialty details in registry
104100000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2506 Johnston StLafayette, LA 70503-3238
- Phone
- (337) 456-6166
- Fax
- (337) 456-4830
Mailing address
3226 GRAND POINT HWYBREAUX BRIDGE, LA 705176221
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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