Basic Information
| Provider Information | |||||||||
| NPI: | 1356812846 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VERDIN | ||||||||
| FirstName: | LINDSEY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1340 W TUNNEL BLVD STE 230 | ||||||||
| Address2: | |||||||||
| City: | HOUMA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 703602811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9852937322 | ||||||||
| FaxNumber: | 9852311377 | ||||||||
| Practice Location | |||||||||
| Address1: | 1340 W TUNNEL BLVD STE 230 | ||||||||
| Address2: | |||||||||
| City: | HOUMA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 703602811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043141737 | ||||||||
| FaxNumber: | 9852311377 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/10/2018 | ||||||||
| LastUpdateDate: | 12/10/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 2203783561 | LA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.