Cole, Nerissa Ivy

Cole, Nerissa Ivy is an individual health care provider with primary practice located at 301 Dunand St , Lafayette LA 70501-2215. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Cole, Nerissa Ivy can be contacted via phone (337) 470-3363.

Contact Information

Primary practice address
301 Dunand St Lafayette LA 70501-2215
Phone: (337) 470-3363
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 6922 Louisiana

Profile Details

NPI number 1396116471
LBN Legal business name Cole, Nerissa Ivy
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2015
Last updated Oct 14th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396116471 NPPES
Louisiana MEDICAID 1760674717

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