Organization
KINGDOM SOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINFORD LOUIS AMOS LPC, LAC, CCS (DIRECTOR/ OWNER)
(337) 456-6166
Entity
Organization
Contact information
Practice address
2506 JOHNSTON ST, LAFAYETTE, LA 70503-3238
(337) 456-6166
(337) 456-4830
Mailing address
3226 GRAND POINT HWY, BREAUX BRIDGE, LA 70517-6221
(337) 456-6166
(337) 456-4830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
11/23/2011
Last updated
11/26/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us