Provider Demographics
NPI:1629584305
Name:ERIN KEMP LCSW LLC
Entity Type:Organization
Organization Name:ERIN KEMP LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:GREEN
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:225-721-8150
Mailing Address - Street 1:PO BOX 2162
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775-2162
Mailing Address - Country:US
Mailing Address - Phone:225-721-8150
Mailing Address - Fax:844-273-2191
Practice Address - Street 1:5689 A COMMERCE STREET
Practice Address - Street 2:
Practice Address - City:ST. FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775-7077
Practice Address - Country:US
Practice Address - Phone:225-721-8150
Practice Address - Fax:844-273-2191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA116181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty