=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588257612
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KDH AND ASSOCIATES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2021
-----------------------------------------------------
Last Update Date | 09/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4906 AMBASSADOR CAFFERY PKWY BLDG I
-----------------------------------------------------
City | LAFAYETTE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70508-7013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-349-5431
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4906 AMBASSADOR CAFFERY PKWY BLDG I
-----------------------------------------------------
City | LAFAYETTE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70508-7013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-349-5431
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST
-----------------------------------------------------
Name | KEISHA HOLMES
-----------------------------------------------------
Credential | MS, LPC
-----------------------------------------------------
Telephone | 337-349-5431
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------