Comeaux, Andrew Anthony

Comeaux, Andrew Anthony is an sole proprietor health care provider with primary practice located at 2625 Line Ave Suite 106, Shreveport LA 71104-3047. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Comeaux, Andrew Anthony can be contacted via phone (318) 560-3458.

Contact Information

Primary practice address
2625 Line Ave Suite 106 Shreveport LA 71104-3047
Phone: (318) 560-3458
Fax: (318) 554-0294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0189 Louisiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4679 Louisiana

Profile Details

NPI number 1083644645
LBN Legal business name Comeaux, Andrew Anthony
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083644645 NPPES
Louisiana Other 275218 TRICARE
Louisiana MEDICAID 1163538 TRICARE

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