Provider Demographics
NPI:1871644500
Name:CAPPEL, KRISTI WILMORE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:WILMORE
Last Name:CAPPEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:LYNN
Other - Last Name:WILMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5629 CERES ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2204
Mailing Address - Country:US
Mailing Address - Phone:318-449-8900
Mailing Address - Fax:
Practice Address - Street 1:5629 CERES ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-2204
Practice Address - Country:US
Practice Address - Phone:318-308-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA82141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical