Provider Demographics
NPI:1386494680
Name:COHEN, MONIQUE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:COHEN
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51504
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-1504
Mailing Address - Country:US
Mailing Address - Phone:337-456-2726
Mailing Address - Fax:
Practice Address - Street 1:913 ALFRED ST
Practice Address - Street 2:
Practice Address - City:SCOTT
Practice Address - State:LA
Practice Address - Zip Code:70583-5117
Practice Address - Country:US
Practice Address - Phone:337-895-9779
Practice Address - Fax:337-895-9779
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA234277363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health