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NPI Code Detail

MEDICARE: MR. WILLIAM FLOYD DOCKETT II MA, LAC, SAP, CCGC

MEDICARE:  MR. WILLIAM FLOYD DOCKETT II MA, LAC, SAP, CCGC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor1072LA
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1043249121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM FLOYD DOCKETT II MA, LAC, SAP, CCGC
Provider Business Mailing Address
First Line : PO BOX 10824
Second Line :
City : NEW IBERIA
State : LA
Zip : 70562-0824
Country : US
Telephone Number : 267-235-3036
Fax Number : 480-247-4641
Provider Business Practice Location Address
First Line : 716 FIELD ST
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-4222
Country : US
Telephone Number : 267-235-3036
Fax Number : 480-247-4641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 09/11/2025

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Directions to “ MR. WILLIAM FLOYD DOCKETT II MA, LAC, SAP, CCGC” Practice Location

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