Kelli Cain

Individual provider Active NPI Case Manager/Care Coordinator · Scott, LA

NPI 1144833906 · NPPES record last updated Sep 23, 2020

Key facts

NPI
1144833906
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
919 Doc Prejean St
Scott, LA 70583-5133
Phone
(337) 804-3283
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

919 Doc Prejean St
Scott, LA 70583-5133

Mailing address

100 Asma Blvd Ste 200
Lafayette, LA 70508-3868
Phone (337) 804-3283

Other identifiers

IdentifierTypeStateIssuer
41455090MedicaidLA

Electronic endpoints

TypeEndpointUseAffiliation
Other URL ksouthern@hcohealth.com

Other providers in Scott, LA

All providers in Scott, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.