Organization · Type 2 NPI
C A Konikoff MSW LCSW LLC
Adult Mental Health Clinic/Center · Lafayette, LA
NPI number
1659842789
Active
Practice location
143 Ridgeway Dr Ste 207
Lafayette, LA 70503-3532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1659842789
C A Konikoff MSW LCSW LLC's National Provider Identifier is 1659842789, issued on Dec 16, 2018. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Lafayette, LA. The record was last updated on Dec 16, 2018.