Crystal Prudhomme
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Calhoun, LA
NPI 1184547010 · NPPES record last updated Jul 30, 2026
Key facts
- NPI
- 1184547010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CIT-6169 (LA)
- Practice address
- 290 Longstraw Lane
Calhoun, LA 71225 - Phone
- (318) 930-3935
- NPI assigned
- Jul 30, 2026
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CIT-6169 | LA | Yes |
Addresses
Primary practice location
290 Longstraw Lane
Calhoun, LA 71225
Mailing address
290 Longstraw Lane
Calhoun, LA 71225
Other providers in Calhoun, LA
- Kiley O'Neill
- Peace of Life Chiropractic, LLC
- Christie M Polk Smith
- Price Right Pharmacy
- Price Right Pharmacy of Choudrant
- Right Value Pharmacy of Calhoun
- Lakysha Sampson
- Sarah Schlessman
- Shepherd Family Clinic, LLC
- Stephanie J Shepherd
All providers in Calhoun, LA · Addiction (Substance Use Disorder) Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.