Individual
CONSTANCE DARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
505 S CAPITOL ST, MANY, LA 71449-3053
(318) 222-8511
(318) 222-3273
Mailing address
6525 W CANAL BLVD, SHREVEPORT, LA 71108-4444
(318) 464-3467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
5529
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3558009
—
LA
Enumeration date
12/04/2019
Last updated
01/24/2023
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