Provider Demographics
NPI:1659437259
Name:LE CONNEXION COMMUNAUTE, INC.
Entity Type:Organization
Organization Name:LE CONNEXION COMMUNAUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:K
Authorized Official - Last Name:DARBONNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-698-9008
Mailing Address - Street 1:PO BOX 396
Mailing Address - Street 2:
Mailing Address - City:FRENCH SETTLEMENT
Mailing Address - State:LA
Mailing Address - Zip Code:70733-0396
Mailing Address - Country:US
Mailing Address - Phone:225-698-9008
Mailing Address - Fax:225-698-9845
Practice Address - Street 1:18350 HIGHWAY 42
Practice Address - Street 2:
Practice Address - City:PORT VINCENT
Practice Address - State:LA
Practice Address - Zip Code:70726
Practice Address - Country:US
Practice Address - Phone:225-698-9008
Practice Address - Fax:225-698-9845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12500251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1721964Medicaid