BREALON LIRETTE LLC NPI 1578046090

NPI Information

NPI: 1578046090
Provider Name: BREALON LIRETTE LLC
Classification: Registered Nurse - 163WP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
242 WOODWIND DR
HOUMA, LA
ZIP 70360
Phone: (337) 643-8424
Get Directions

BREALON LIRETTE LLC is a psychiatric/mental health registered nurse in Houma, LA. BREALON LIRETTE LLC NPI is 1578046090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

242 WOODWIND DR
HOUMA, LA
ZIP 70360-996
Phone: (337) 643-8424
Fax: (337) 643-8407

The provider's authorized official is Brealon M Lirette .
The authorized official title is Owner and has the following contact phone number (985) 804-0678.

The enumeration date for this NPI number is 9/11/2018 and was last updated on 4/27/2020.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health			Yes

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
1	2456067	MEDICAID	LOUISIANA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »