Organization
MYRA GULOTTA LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA B GULOTTA (OWNER/PROVIDER)
(337) 577-5203
Entity
Organization
Contact information
Practice address
215 RUE FONTAINE, LAFAYETTE, LA 70508-5742
(337) 577-5203
(337) 806-9339
Mailing address
215 RUE FONTAINE, LAFAYETTE, LA 70508-5742
(337) 577-5203
(337) 806-9339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
11/06/2025
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