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ACADIANA YOUTH INC. NPI 1487914925


NPI Information

NPI: 1487914925
Provider Name: ACADIANA YOUTH, INC.
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

CLIA Number: 19D0861546

Address:
1000 E WILLOW ST
LAFAYETTE, LA
ZIP 70501
Phone: (337) 237-1320
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ACADIANA YOUTH, INC. is a substance abuse treatment and children substance abuse rehabilitation facility in Lafayette, LA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. ACADIANA YOUTH, INC. NPI is 1487914925. The provider is registered as an organization entity type.

The provider's business location address is:

1000 E WILLOW ST
LAFAYETTE, LA
ZIP 70501-140
Phone: (337) 237-1320
Fax: (337) 237-0806

The provider's authorized official is Vicki Claire Boudreaux .
The authorized official title is Executive Director and has the following contact phone number (337) 237-1320.

The CLIA number assigned to this NPI record is 19D0861546 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2012 and was last updated on 4/19/2013.


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
1253J00000XFoster Care Agency2332LOUISIANANo
2253J00000XFoster Care Agency4986LOUISIANANo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children2203781379LOUISIANAYes

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: 11/14/2023

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