Healthcare Provider Details

I. General information

NPI: 1720032246
Provider Name (Legal Business Name): CARING COUNSELORS II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 LOUISIANA AVE
LAFAYETTE LA
70501-3702
US

IV. Provider business mailing address

1800 LOUISIANA AVE
LAFAYETTE LA
70501-3702
US

V. Phone/Fax

Practice location:
  • Phone: 337-267-7866
  • Fax:
Mailing address:
  • Phone: 337-267-7866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number892
License Number StateLA

VIII. Authorized Official

Name: LEO SIMON, JR
Title or Position: COUNSELORS
Credential: MANAGING MEMBER
Phone: 337-267-7866