Individual
FLESHANNE MAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 COOLIDGE BLVD STE C, LAFAYETTE, LA 70503-2622
(337) 266-7171
Mailing address
1144 COOLIDGE BLVD STE C, LAFAYETTE, LA 70503-2622
(337) 266-7171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/31/2018
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