Provider Demographics
NPI:1285989772
Name:LAROCHELLE, LISA M (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:M
Last Name:LAROCHELLE
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Gender:F
Credentials:MSW, LCSW
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Mailing Address - Street 1:4540 AMBASSADOR CAFFERY PKWY
Mailing Address - Street 2:BUILDING D, SUITE B-220
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6928
Mailing Address - Country:US
Mailing Address - Phone:337-981-2180
Mailing Address - Fax:337-981-2391
Practice Address - Street 1:4540 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:BUILDING D, SUITE B-220
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6928
Practice Address - Country:US
Practice Address - Phone:337-981-2180
Practice Address - Fax:337-981-2391
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA82811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical