THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1265784094

NPI Information

  • NPI: 1265784094
  • Provider Name: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
  • Classification: Psychiatry & Neurology - 2084P0805X
  • Specialization: Geriatric Psychiatry
  • Entity Type: Organization
  • Doing Business As: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION GERI PSYC
  • Address: 602 N ACADIA RD
    THIBODAUX, LA
    ZIP 70301
  • Phone: (985) 447-5500

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NPI Details

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is a geriatric psychiatry psychiatry neurology in Thibodaux, LA. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1265784094. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thibodaux Regional Network Development Corporation Geri Psyc.

The provider's business location address is:

602 N ACADIA RD
THIBODAUX, LA
ZIP 70301-847
Phone: (985) 447-5500

The provider's authorized official is Steve Gaubert .
The authorized official title is Agent and has the following contact phone number (985) 493-4721.

The enumeration date for this NPI number is 10/3/2012 and was last updated on 12/7/2016.

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
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12325060MEDICAIDLOUISIANA
2257379MEDICARE PINLOUISIANA

What is NPI?

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This page was last updated on: 11/21/2025

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