Healthcare Provider Details

I. General information

NPI: 1295708501
Provider Name (Legal Business Name): DANNA HALPIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 09/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 W SAINT MARY BLVD
LAFAYETTE LA
70506-2512
US

IV. Provider business mailing address

2310 W SAINT MARY BLVD
LAFAYETTE LA
70506-2512
US

V. Phone/Fax

Practice location:
  • Phone: 337-232-8703
  • Fax:
Mailing address:
  • Phone: 337-232-8703
  • Fax: 337-534-0462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number3261
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: