Organization
LITTLE CHERUBS OF CENTRAL LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LAMBETH RN (MEMBER)
(318) 359-0033
Entity
Organization
Contact information
Practice address
7264 HIGHWAY 115 STE B, BUNKIE, LA 71322-4110
(318) 359-0033
(337) 573-4307
Mailing address
PO BOX 180, BUNKIE, LA 71322-0180
(318) 359-0033
(337) 573-4307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3526559
NON-MEDICARE
LA
Enumeration date
09/27/2021
Last updated
09/27/2021
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