NPI 1871141986

Kiddos Therapy Konnection LLC

Organisation Physical Disabilities Residential Treatment Facility Lake Charles, LA

Practice location

Address: 814 W McNeese St # 241, Lake Charles, LA 70605-5426
Phone: (337) 502-9533

Authorised official

Name: Charlie Cochran
Title: Owner
Phone: (337) 502-9533

Registered specialties (7)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1871141986
Entity type: Organization
NPI issued: 1 Sep 2019
Record last updated: 1 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.