Individual
DAMIAN LARK MATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1602 W PINHOOK RD STE 201, LAFAYETTE, LA 70508-3735
(337) 534-0770
(337) 534-4370
Mailing address
1602 W PINHOOK RD STE 201, LAFAYETTE, LA 70508-3735
(337) 534-0770
(337) 534-4370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8712
LA
101YP2500X
Professional Counselor
8712
LA
171M00000X
Case Manager/Care Coordinator
Primary
8712
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8712
LICENSE
LA
Enumeration date
02/09/2022
Last updated
01/23/2026
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