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Contact Information

DECLOUET PSYCHIATRIC SERVICES, LLC
100 BILLEAUD LN
LAFAYETTE, LA70506-3108
 Phone: 337-280-0441
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for DECLOUET PSYCHIATRIC SERVICES, LLC

NPI # 1609248376
LBN Legal business name DECLOUET PSYCHIATRIC SERVICES, LLC
Authorized official MATTHEW DECLOUET - (NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2015
Last updated 06/08/2016 - About 10 years ago
Identifiers
LA License # AP08470
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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