Broussard, Kelli
Broussard, Kelli is an sole proprietor health care provider with primary practice located at 315 S College Rd , Lafayette LA 70503-3212. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Broussard, Kelli can be contacted via phone (337) 456-7880.Contact Information
Primary practice address
315 S College Rd
Lafayette LA 70503-3212
Phone: (337) 456-7880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1063954493 |
|---|---|
| LBN Legal business name | Broussard, Kelli |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2016 |
| Last updated | Dec 5th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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