Kingdom Source, LLC
Kingdom Source, LLC is a Counselor in Lafayette, Louisiana. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 6
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2506 Johnston StLafayette, LA 70503-3238
Phone: (337) 456-6166
Fax: (337) 456-4830
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
| Pastoral Counselor | Taxonomy 101YP1600X |
| Professional Counselor | Taxonomy 101YP2500X |
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1154698892 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Winford Amos — Director/ Owner · (337) 456-6166 |
| NPI enumerated | November 23, 2011 |
| Last updated in NPPES | November 26, 2019 |
| Mailing address | 3226 Grand Point Hwy, Breaux Bridge, LA 70517-6221 |
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