Provider Demographics
NPI:1952644783
Name:DUCOTE, TERRIE NORMAND (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TERRIE
Middle Name:NORMAND
Last Name:DUCOTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1471
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71309-1471
Mailing Address - Country:US
Mailing Address - Phone:318-305-5871
Mailing Address - Fax:
Practice Address - Street 1:MEADOW LANE
Practice Address - Street 2:CENTRAL LA STATE HOSPITAL UNIT 6
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360
Practice Address - Country:US
Practice Address - Phone:318-305-5871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA49051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical