Provider Demographics
NPI:1467983213
Name:SOUTHDOWN CONSULTING LLC
Entity Type:Organization
Organization Name:SOUTHDOWN CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:HUVAL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-BACS
Authorized Official - Phone:337-356-1343
Mailing Address - Street 1:143 RIDGEWAY DR
Mailing Address - Street 2:#219
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3414
Mailing Address - Country:US
Mailing Address - Phone:337-356-1343
Mailing Address - Fax:888-843-7038
Practice Address - Street 1:143 RIDGEWAY DR
Practice Address - Street 2:#219
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3414
Practice Address - Country:US
Practice Address - Phone:337-356-1343
Practice Address - Fax:888-843-7038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA116401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty