Fundamentals, LLC

NPI #1023262383 in Covington, Louisiana

Provider Information

NPI Number: 1023262383
Entity Type: Organization
Organization Name: Fundamentals, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 12, 2008
Last Updated: Jan 20, 2012

Practice Location

Address: 60 LOUIS PRIMA DR
Address 2: SUITE A
City: Covington
State: Louisiana
ZIP Code: 70433-5903
Phone: (504) 430-6116

Authorized Official

Name: COLETTE MELANCON, LCSW
Title: OWNER
Phone: (504) 430-6116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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