Doctor Name: | MRS. KIMBERLY LACHNEY |
NPI Number: | 1003176744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | CIT3142 |
Business Practice Address: | 100 Poydras St Lafayette, LA - 705014740 |
Business Phone Number: | 3372316365 |
Business Fax Number: | |
Mailing Address: | 200 Lodge Dr Apt 607, LAFAYETTE |
State: | LA |
Postal Code: | 705062871 |
Phone Number: | 3183593774 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2012 |
NPI Last Update Date: | 05/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CIT3142 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |