Provider Demographics
NPI:1922329929
Name:MARIA HEBERT, LCSW, INC
Entity Type:Organization
Organization Name:MARIA HEBERT, LCSW, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:337-281-1121
Mailing Address - Street 1:112 CHESHIRE CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-9316
Mailing Address - Country:US
Mailing Address - Phone:337-281-1121
Mailing Address - Fax:337-281-1188
Practice Address - Street 1:318 E PARK ST
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-2468
Practice Address - Country:US
Practice Address - Phone:337-281-1121
Practice Address - Fax:337-785-1188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-14
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA89561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty