Doctor Name: | MRS. AMY ANN MENESES |
NPI Number: | 1164768263 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, C-SSWS |
License Number: | 8272 |
Business Practice Address: | 601 Tee Ma Rd. Carencro, LA - 70520 |
Business Phone Number: | 3375217640 |
Business Fax Number: | |
Mailing Address: | 152 Knollwood Dr, LAFAYETTE |
State: | LA |
Postal Code: | 705066054 |
Phone Number: | 3377397796 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2012 |
NPI Last Update Date: | 12/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 8272 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |