MEDICARE: CHARLI RHEA DEROUEN MS, LAC, CCS

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	3384	LA

General Provider Information

NPI Number	:	1447954631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLI RHEA DEROUEN MS, LAC, CCS

Provider Business Mailing Address
First Line	:	406 SAINT JULIEN AVE
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-4622
Country	:	US
Telephone Number	:	337-366-6050
Fax Number	:

Provider Business Practice Location Address
First Line	:	406 SAINT JULIEN AVE
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-4622
Country	:	US
Telephone Number	:	337-366-6050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	03/30/2023

Similar Medicare Providers

1871583435 — BETHANY MHS HEALTH CARE CENTER
Practice Location Address:

406 SAINT JULIEN AVE
LAFAYETTE, LA
70506-4622

Practice Phone: 337-234-2459
Practice Fax:

1487331955 — JENNIFER RUSSO PMHNP
Practice Location Address:

406 SAINT JULIEN AVE
LAFAYETTE, LA
70506-4622

Practice Phone: 337-366-6050
Practice Fax: 337-366-6051

1659226850 — PERSEVERE COUNSELING AND CONSULTING,LLC
Practice Location Address:

701 ASTER DR
LAFAYETTE, LA
70506

Practice Phone: 337-255-0448
Practice Fax:

1841145950 — FIRM FOUNDATIONS BEHAVIORAL SERVICES, LLC
Practice Location Address:

126 CHICORY LN
LAFAYETTE, LA
70506-9210

Practice Phone: 337-446-9752
Practice Fax:

1780114074 — MIMI NGUYEN DO
Practice Location Address:

4212 W CONGRESS ST STE 1600
LAFAYETTE, LA
70506-6767

Practice Phone: 337-456-1642
Practice Fax: 337-456-4913

1821943150 — NAKEL ZENO
Practice Location Address:

217 BELLE PLAINE AVE
LAFAYETTE, LA
70506-9250

Practice Phone: 337-326-7999
Practice Fax:

Directions to “ CHARLI RHEA DEROUEN MS, LAC, CCS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.