Provider Demographics
NPI:1043108046
Name:KAITLYN LASSEIGNE, LCSW, LLC
Entity type:Organization
Organization Name:KAITLYN LASSEIGNE, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:G
Authorized Official - Last Name:LASSEIGNE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:985-258-8175
Mailing Address - Street 1:106 CEZANNE DR
Mailing Address - Street 2:
Mailing Address - City:RAYNE
Mailing Address - State:LA
Mailing Address - Zip Code:70578-2744
Mailing Address - Country:US
Mailing Address - Phone:985-258-8175
Mailing Address - Fax:999-999-9999
Practice Address - Street 1:106 CEZANNE DR
Practice Address - Street 2:
Practice Address - City:RAYNE
Practice Address - State:LA
Practice Address - Zip Code:70578-2744
Practice Address - Country:US
Practice Address - Phone:985-258-8175
Practice Address - Fax:999-999-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health