Healthcare Provider Details

I. General information

NPI: 1942104211
Provider Name (Legal Business Name): CECILE WALTERS TROTTER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 KALISTE SALOOM RD STE 107
LAFAYETTE LA
70508-4230
US

IV. Provider business mailing address

850 KALISTE SALOOM RD STE 107
LAFAYETTE LA
70508-4230
US

V. Phone/Fax

Practice location:
  • Phone: 337-400-9725
  • Fax:
Mailing address:
  • Phone: 337-400-9725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number20074
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: