Provider Demographics
NPI:1205946423
Name:KERNE COUNSELING & CONSULTING, LLC
Entity type:Organization
Organization Name:KERNE COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:K
Authorized Official - Last Name:KERNE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:985-507-8819
Mailing Address - Street 1:107 W THOMAS ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-3250
Mailing Address - Country:US
Mailing Address - Phone:985-507-8819
Mailing Address - Fax:
Practice Address - Street 1:107 W THOMAS ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-3250
Practice Address - Country:US
Practice Address - Phone:985-507-8819
Practice Address - Fax:985-542-7975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1750317848OtherNPI-INDIVIDUAL
LA1750317848OtherNPI-INDIVIDUAL