MR. ELTON DEROUEN NPI 1568189918

NPI Information

NPI: 1568189918
Provider Name: MR. ELTON DEROUEN
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
524 S BURNSIDE AVE
GONZALES, LA
ZIP 70737
Phone: (225) 257-4677
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MR. Elton Derouen is a counselor in Gonzales, LA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Elton Derouen NPI is 1568189918. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

524 S BURNSIDE AVE
GONZALES, LA
ZIP 70737-448
Phone: (225) 257-4677

The enumeration date for this NPI number is 10/26/2022 and was last updated on 12/14/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	101Y00000X	Counselor		PLC9877	LOUISIANA	Yes
3	101YM0800X	Counselor	Mental Health	1568189918	LOUISIANA	No

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: 5/5/2024

NPI Synchronization or Removal

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