Organization
TALITHA KOUM
Active
Other names
TK Mission
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODY LYNN TRAMONTANA LCSW (EXECUTIVE DIRECTOR)
(337) 962-3159
Entity
Organization
Contact information
Practice address
2020 W PINHOOK RD STE 401, LAFAYETTE, LA 70508-3212
(337) 962-3159
Mailing address
134 E BAYOU SHR, LAFAYETTE, LA 70508-7921
(337) 962-3159
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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