Healthcare Provider Details

I. General information

NPI: 1376542506
Provider Name (Legal Business Name): ACADIA HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W EBEY ST
CHURCH POINT LA
70525-3523
US

IV. Provider business mailing address

PO BOX 182
CHURCH POINT LA
70525-0182
US

V. Phone/Fax

Practice location:
  • Phone: 337-684-1010
  • Fax: 337-684-3813
Mailing address:
  • Phone: 337-684-1010
  • Fax: 337-684-3813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateLA

VIII. Authorized Official

Name: EVELYN B FILIPINAS
Title or Position: ADMINISTRATOR
Credential:
Phone: 337-684-1010