MENTAL CONNECTIONS OF SOUTHWEST LLC GROUP (NPI# 1508301037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508301037 |
| Entity Type | Organization |
| Organization Name | MENTAL CONNECTIONS OF SOUTHWEST LLC GROUP |
| Practice Address |
133 Jefferson Dr Lake Charles LA 70605-5713 |
| Mailing Address |
Po Box 1273 Lake Charles LA 70602-1273 |
| Practice Telephone | 3373760136 |
| Practice Fax Number | 3373765244 |
| Mailing Telephone | 3373760136 |
| Mailing Fax Number | 3373765244 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |
| Authorized Official Name | MS. ROBIN CLAIRE DAUGEREAU (OWNER/MANAGER) |
| Authorized Official Telephone | 3373760136 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4894 | LA | Behavioral Health & Social Service Providers |
| Street Address |
133 JEFFERSON DR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285137968 | Theresa M Ivey LLC | Social Worker | 133 Jefferson Dr, Lake Charles, LA 70605-5713 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053943118 | April Tanner | Counselor | 635 Petro Point Dr Ste A, Lake Charles, LA 70607-7066 | 2020-02-06 |
| 1871141986 | Kiddos Therapy Konnection LLC | Counselor | 814 W Mcneese St # 241, Lake Charles, LA 70605-5426 | 2019-09-01 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1386153401 | Erica Jenkins | Counselor | 5000 Lake Street #4955, Lake Charles, LA 70606 | 2017-09-20 |
| 1043749542 | Briaunna Nicole Robinson | Counselor | 4510 Common St Apt 8, Lake Charles, LA 70607-5745 | 2017-06-08 |
| 1831628494 | Lisa Moore | Counselor | 2714 Tupelo St, Lake Charles, LA 70601-7376 | 2017-06-07 |
| 1164950309 | Kimberly J Evans | Counselor | 1409 Kirkman Street, Lake Charles, LA 70601-5344 | 2017-06-01 |
| 1417485855 | Latoya Jack | Counselor | 4396 Gordon Woods Dr, Lake Charles, LA 70615-2997 | 2017-05-30 |
| 1346785367 | Kingdom Expressions LLC | Counselor | 1639 Ryan St Ste B, Lake Charles, LA 70601-5948 | 2016-12-29 |
| 1497200042 | Whitney Castille | Counselor | 247 W Sallier St, Lake Charles, LA 70601-5843 | 2016-08-23 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on MENTAL CONNECTIONS OF SOUTHWEST LLC GROUP.
| 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.