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ACADIANA PSYCHIATRIC SOLUTIONS LLC NPI 1275926230


NPI Information

NPI: 1275926230
Provider Name: ACADIANA PSYCHIATRIC SOLUTIONS LLC

Doing Business As: AXIS BEHAVIORAL HEALTH AND RECOVERY

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
217 BREVARD CT STE C
ALEXANDRIA, LA
ZIP 71303
Phone: (318) 545-2451
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ACADIANA PSYCHIATRIC SOLUTIONS LLC is a psychiatric/mental health nurse practitioner in Alexandria, LA. ACADIANA PSYCHIATRIC SOLUTIONS LLC NPI is 1275926230. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Axis Behavioral Health And Recovery.

The provider's business location address is:

217 BREVARD CT STE C
ALEXANDRIA, LA
ZIP 71303-997
Phone: (318) 545-2451
Fax: (866) 990-8296

The provider's authorized official is Mark Declouet .
The authorized official title is Owner/ceo/nurse Practitioner and has the following contact phone number (337) 322-2471.

The enumeration date for this NPI number is 3/13/2015 and was last updated on 1/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12543491MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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