CLIFTON BOUDREAUX NPI 1194629592

NPI Information

  • NPI: 1194629592
  • Provider Name: CLIFTON BOUDREAUX
  • Classification: Counselor - 101YP1600X
  • Specialization: Pastoral
  • Entity Type: Individual
  • Address: 11616 SOUTHFORK AVE STE 403
    BATON ROUGE, LA
    ZIP 70816
  • Phone: (225) 261-7143

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NPI Details

Clifton Boudreaux is a pastoral counselor in Baton Rouge, LA. Clifton Boudreaux NPI is 1194629592. 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:

11616 SOUTHFORK AVE STE 403
BATON ROUGE, LA
ZIP 70816-241
Phone: (225) 261-7143

The enumeration date for this NPI number is 10/7/2026 and was last updated on 10/7/2026.

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
1101YP1600XCounselorPastoral18655TEXASYes

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: 11/21/2025

NPI Synchronization or Removal

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