Healthcare Provider Details

I. General information

NPI: 1285766311
Provider Name (Legal Business Name): PEGGY S. ARCEMENT MS, MA, LDN, RD,LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 02/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

763 NORTH BLVD
BATON ROUGE LA
70802-5725
US

IV. Provider business mailing address

18513 N LAKE SHADOW DR
BATON ROUGE LA
70817-8933
US

V. Phone/Fax

Practice location:
  • Phone: 225-387-2287
  • Fax: 225-383-2722
Mailing address:
  • Phone: 225-751-1345
  • Fax: 225-751-1343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3750
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number75
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: