Healthcare Provider Details

I. General information

NPI: 1588235212
Provider Name (Legal Business Name): AIMEE SCELFO LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2021
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 RIDGEWAY DR STE 307
LAFAYETTE LA
70503-3498
US

IV. Provider business mailing address

110 FOX TROT LN
SUNSET LA
70584-6226
US

V. Phone/Fax

Practice location:
  • Phone: 337-288-6395
  • Fax: 337-340-9240
Mailing address:
  • Phone: 337-288-6395
  • Fax: 337-340-9240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AIMEE SCELFO
Title or Position: OWNER
Credential: LCSW
Phone: 337-288-6395