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Organization
THE THERAPY GARDEN
Active
Organization
THE THERAPY GARDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN DIETZWAY LCSW (OWNER/CLINICAL DIRECTOR)
(337) 254-0362
Entity
Organization
Contact information
Practice address
100 COULEE SHORE DR, LAFAYETTE, LA 70503-3021
(337) 254-0362
Mailing address
100 COULEE SHORE DR, LAFAYETTE, LA 70503-3021
(318) 787-7177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/10/2020
Last updated
07/09/2022
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