Provider Demographics
NPI:1578871042
Name:COUNSELING AND PSYCHOLOGICAL PSYCHIATRIC SERVICES INC.
Entity Type:Organization
Organization Name:COUNSELING AND PSYCHOLOGICAL PSYCHIATRIC SERVICES INC.
Other - Org Name:CAPPS
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KYM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-739-3961
Mailing Address - Street 1:1104 W SAINT PETER ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-3558
Mailing Address - Country:US
Mailing Address - Phone:337-364-4788
Mailing Address - Fax:337-365-2803
Practice Address - Street 1:1104 W SAINT PETER ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-3558
Practice Address - Country:US
Practice Address - Phone:337-364-4788
Practice Address - Fax:337-365-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-18
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health