| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAROCHELLE WOOTEN | 1619496668 | 2024-01-06 |
Larochelle Wooten is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1619496668. Registration indicates Larochelle Wooten is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Mental Health (Including Community Mental Health Center),, ) (Community Mental Health Center, ) (Clinic/Center Mental Health (Including Community Mental Health Center),, Ambulatory Health Care Facilities) (Clinic/Center, )
| Entity Type | Individual |
| Provider Name | Larochelle Wooten |
| Practice Office Address | 645 HIGHWAY 80 E MONROE, LA US |
| Practice Office Telephone | 3183438744 |
| Mailing Address | 420 MCCAIN DR MONROE, LA 712034053 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 645 Highway 80 E | Monroe, LA 712038527 | 3183438744 |
| 850 Kaliste Saloom Rd | Lafayette, LA 70508 | 3372347109 |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | |
| 261QM0801X | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Mental Health (Including Community Mental Health Center), Community Mental Health Center Clinic/Center Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities Clinic/Center |