Individual
BRASHAMEKIA L ALFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ENERGY PKWY, LAFAYETTE, LA 70508-3816
(337) 261-8781
Mailing address
116 BERTRAND DR, LAFAYETTE, LA 70506-5632
(337) 261-8781
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BRASHAMEKIA
—
LA
Enumeration date
09/14/2021
Last updated
10/20/2021
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