Healthcare Provider Details

I. General information

NPI: 1225636913
Provider Name (Legal Business Name): DONALD CURTIS MUNSON PLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2020
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 COLLINS RD
COLUMBIA LA
71418-3388
US

IV. Provider business mailing address

439 CECIL RD
TROUT LA
71371-4105
US

V. Phone/Fax

Practice location:
  • Phone: 318-649-6106
  • Fax:
Mailing address:
  • Phone: 225-337-1428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8290
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberPLC8290
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number8290
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: