Organization
OM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIVYA S KASTURI LPC-S (COUNSELOR)
(337) 781-6791
Entity
Organization
Contact information
Practice address
1007 CAMELLIA BLVD STE I00, LAFAYETTE, LA 70508-7248
(337) 781-6791
(800) 466-0744
Mailing address
1007 CAMELLIA BLVD STE I00, LAFAYETTE, LA 70508-7248
(337) 781-6791
(800) 466-0744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
05/25/2022
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