KELLY LINER DEROUEN, LPC-S, LMFT, NCC, NCSC, SUPERVISOR LLC (NPI# 1073530903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073530903 |
| Entity Type | Organization |
| Organization Name | KELLY LINER DEROUEN, LPC-S, LMFT, NCC, NCSC, SUPERVISOR LLC |
| Other Organization Name | KELLY LINER DEROUEN |
| Practice Address |
547 Bayou Dularge Road Houma LA 70363 |
| Practice Telephone | 9858765748 |
| Mailing Telephone | 9858765748 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-11-24 |
| Authorized Official Name | MS. KELLY LINER DEROUEN (COUNSELOR) |
| Authorized Official Telephone | 9858765748 |
| Authorized Official Credential | LPC-S,LMFT,NCC,N |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Kelly Liner Derouen | Former Legal Business Name - Organization |
| Street Address |
547 BAYOU DULARGE ROAD |
| City | HOUMA |
| State | LA |
| Zip Code | 70363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619996519 | Kelly Liner Derouen | Counselor | 547 Bayou Dularge Road, Houma, LA 70363 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1376107367 | Sheahahn Vikash Soundranayagam | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program Chabert Medical, Center, 1978 Industrial Blvd, Hourna, LA 70363 | 2019-04-25 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1538514450 | Khizran Rizvi | Internal Medicine | 1978 Industrial Blvd. Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2016-04-28 |
| 1649656836 | David Price | Pharmacist | 9303 East Parke Avenue, Houma, LA 70363 | 2015-08-11 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
| Find all providers in zip 70363 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790330231 | Carey Lovell, Lpc | Counselor | 8b Professional Dr, Houma, LA 70360-4046 | 2019-08-01 |
| 1033634670 | Erika Aucoin | Counselor | 209 Bayou Gardens Blvd Ste K1, Houma, LA 70364-1420 | 2017-08-04 |
| 1215300256 | Lyndell W Stove | Counselor | 3713 Baker Dr, Houma, LA 70363-3805 | 2015-11-12 |
| 1770973422 | Jennifer Cannatella Danos | Counselor | 1340 W Tunnel Blvd Ste 317, Houma, LA 70360-2861 | 2015-02-03 |
| 1881082089 | Maisha Roneal Davis | Counselor | 327 Sugar Plum St, Houma, LA 70364-4470 | 2014-12-23 |
| 1518307925 | Jennifer Elizabeth Neal Raymond | Counselor | 1198 Barrow St, Houma, LA 70360-5693 | 2013-06-29 |
| 1093074460 | Nikki Fanguy | Counselor | 504 Funderburk Ave, Houma, LA 70364-1821 | 2012-05-04 |
| 1609140235 | Michele Turner Jones | Counselor | 6763 Willie Lou Ave, Houma, LA 70364-2593 | 2012-02-29 |
| 1386803781 | Valerie C Cooper | Counselor | 513 Crescent Blvd, Houma, LA 70360-6623 | 2008-06-02 |
| 1992979561 | Robin Sasser | Counselor | 4212 Bayou Side Dr, Houma, LA 70363-7827 | 2008-04-15 |
| Find all providers in HOUMA | ||||
Please comment or provide details below to improve the information on KELLY LINER DEROUEN, LPC-S, LMFT, NCC, NCSC, SUPERVISOR LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.