Healthcare Provider Details

I. General information

NPI: 1467385716
Provider Name (Legal Business Name): ANNE H KING LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 E 4TH ST
CROWLEY LA
70526-5123
US

IV. Provider business mailing address

7230 BENTON RD
CROWLEY LA
70526-1441
US

V. Phone/Fax

Practice location:
  • Phone: 657-330-8196
  • Fax:
Mailing address:
  • Phone: 337-277-9430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number19532
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: