Provider Demographics
NPI:1861009979
Name:FEFIE, MONICA H
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:H
Last Name:FEFIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASCENSION COMFORT CARE, LLC. 1234 S SANCTUARY AVE
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-4273
Mailing Address - Country:US
Mailing Address - Phone:225-802-4178
Mailing Address - Fax:
Practice Address - Street 1:1234 S SANCTUARY AVE
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4273
Practice Address - Country:US
Practice Address - Phone:225-802-4178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-23
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMF861027101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral