Healthcare Provider Details

I. General information

NPI: 1417863374
Provider Name (Legal Business Name): JANA CHANTEL COUVILLION LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 4TH ST
NATCHITOCHES LA
71457-4569
US

IV. Provider business mailing address

830 4TH ST
NATCHITOCHES LA
71457-4569
US

V. Phone/Fax

Practice location:
  • Phone: 318-214-4002
  • Fax: 318-214-4004
Mailing address:
  • Phone: 318-214-4002
  • Fax: 318-214-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number19307
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: