| Doctor Name: | TANYA CARRON CORMIER |
| NPI Number: | 1346581048 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CI |
| License Number: | 5497 |
| Business Practice Address: | 1105 General Mouton Ave Lafayette, LA - 705018529 |
| Business Phone Number: | 3374566166 |
| Business Fax Number: | 3374564830 |
| Mailing Address: | 109 Willow Wood Rd, ARNAUDVILLE |
| State: | LA |
| Postal Code: | 705126459 |
| Phone Number: | 3377817101 |
| Fax Number: | 3374564830 |
| NPI Enumeration Date: | 03/06/2013 |
| NPI Last Update Date: | 03/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 5497 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |