Domingue, Susan
Domingue, Susan is an individual health care provider with primary practice located at 116 Bertrand Dr Ste 100 , Lafayette LA 70506-5632. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Domingue, Susan can be contacted via phone (337) 261-8781.Contact Information
Primary practice address
116 Bertrand Dr Ste 100
Lafayette LA 70506-5632
Phone: (337) 261-8781
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 9033 | Louisiana |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1225400161 |
|---|---|
| LBN Legal business name | Domingue, Susan |
| Credentials | MS, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2015 |
| Last updated | Jun 18th, 2024 - about 2 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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