Healthcare Provider Details

I. General information

NPI: 1235769357
Provider Name (Legal Business Name): DFM CASE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2020
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3419 NW EVANGELINE TRWY STE J-4
CARENCRO LA
70520-6241
US

IV. Provider business mailing address

3419 NW EVANGELINE TRWY STE J-4
CARENCRO LA
70520-6241
US

V. Phone/Fax

Practice location:
  • Phone: 337-458-6578
  • Fax:
Mailing address:
  • Phone: 337-458-6578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DEIRDRE FAYE MCKINNEY
Title or Position: OWNER
Credential: LAC
Phone: 337-458-6578