Fontenot, Tara
Fontenot, Tara is an individual health care provider with primary practice located at 302 Dulles Dr , Lafayette LA 70506-3008. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fontenot, Tara can be contacted via phone (337) 262-4100.Contact Information
Primary practice address
302 Dulles Dr
Lafayette LA 70506-3008
Phone: (337) 262-4100
Fax: (337) 262-1146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11438 | Louisiana |
Profile Details
| NPI number | 1902141658 |
|---|---|
| LBN Legal business name | Fontenot, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2012 |
| Last updated | Dec 16th, 2020 - about 6 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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